Chest pain, resolved. Reperfusion T-waves. Should the patient go emergently to the cath lab?
Written by Emily Dawra, one of our superb EM G3 residents, with a few edits by Smith. Case: A patient presented to the emergency…
Interns are not (yet) poisoned by the STEMI/NSTEMI paradigm
This case was written up by Kuan-Yu (Evan) Lin with some edits by Willy Frick. I (Willy) had the pleasure of working with Evan when he was a…
“The dye don’t lie” …except when it does. Angiogram Negative, or is it?
Written by Willy Frick See the fascinating discussion on X started by this post. Link below. A 40 year old woman was at home…
An elderly male with shortness of breath
A 70-something y.o. male presents to triage with shortness of breath. He reports significant chest pain at the base of his scapula on…
Serial ECGs for chest pain: at what point would you activate the cath lab?
Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on…
Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.
A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse…
75 year old with 24 hours of chest pain, STEMI negative
Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chest pain. HR 40, BP 135/70, RR16, O2 100%.…
A 40-something male with resolving chest pain and a “Normal ECG” by computer and cardiology overread
A 40-something male presented by ambulance with one hour of chest pain that was improving after sublingual nitroglycerine and 325 mg of…
A man in his 50s with acute chest pain and LVH
Sent by Drew Williams, written by Pendell Meyers A man in his 50s with history of hypertension was standing at the bus stop when he developed…
Occlusion/reperfusion through 6 ‘normal’ ECGs
This is written and contributed by Jesse McLaren (@ECGCases), with comments and edits by Smith, and commentary by Ken Grauer (@EKGPress) An 80…