Concerning EKG with a Non-obstructive angiogram. What happened?
This is written by Willy Frick, an amazing cardiology fellow in St. Louis. https://twitter.com/willyhfrick A 62 year old man with…
Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm
Written by Jesse McLaren Two 70 year olds had acute chest pain with nausea and shortness of breath, and called paramedics. Who…
40-something male in a head-on Motor Vehicle Collision and Splenic Injury
A 40-something male presents to the stabilization room for evaluation following head on motor vehicle collision (MVC). Pt was reported…
A 40-something healthy male with transient chest squeezing
A 40-something man with Hx of treated HTN had chest “squeezing,” with SOB and diaphoresis, 10 hours prior to presentation. It…
Chest pain resolved, and a “Normal” ED ECG
A previously healthy middle-aged male presented shortly after the acute onset of chest pain very shortly before calling 911. On arrival, he…
What will you do for this patient transferred to you who is now asymptomatic?
A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness…
A patient with chest pain and dynamic ST elevation
Written by Pendell Meyers A female in her late 40s presented with chest pain, waxing and waning over the past 24 hours. Her history included…
Timing of revascularization in patients with transient STEMI: a randomized clinical trial
European Heart Journal, ehy651, https://doi.org/10.1093/eurheartj/ehy651 Published: 26 October 2018…
Is this a STEMI? No, not by definition! Why not? Why is this Important?
A 40-something male presented with dyspnea and left arm numbness, and perhaps some chest tightness, for 1 1/2 hours. Here is his triage ECG:…
A 33 year old male with acute back pain radiating to the chest
Written by Pendell Meyers, with edits by Steve Smith Case I was called to the EMS control room to answer an RMA (Refusal of Medical Advice).…