How unreliable are computer algorithms in the Diagnosis of STEMI?
A 61 year-old with chest pain arrived to the ED by ambulance with resolving chest pain. Here is his ED ECG: The computer interpretation…
60-something with Chest Pain, resolved upon arrival to the ED
A 60-something male called 911 for chest pain of less than one hour duration. He arrived in the ED pain free and had this ECG recorded:…
Bilateral Arm and Mid Back Pain, BP 250/140, in a 50-something
A 50 something presented with 10/10 bilateral arm and pain between the shoulder blades that started at work. It felt like a…
Transient ST elevation, rules out for MI, what is it?
A 70 year old diabetic complained of 6/10 epigastric pain. Here is his initial ECG: There is diffuse ST elevation: II, III, aVF and…
Prehospital Inferior STEMI: Bedside Echo in ED is normal
A woman in her 60’s complained of chest pain. 911 was called. She had this prehospital ECG: Obvious Infero-posterior and…
Chest pain and Transient ST Elevation
A 56 year old diabetic male with family history of young MI and prior CAD with stent was awoken by typical substernal chest pain. He had…
Transient Inferior OMI, with RV OMI, missed. It became obvious on a near fatal stress test.
A middle-aged woman with a history of hypertension presented with typical chest pain. Her BP was 160/80. Here was her presenting…
Wellens’ syndrome, no culprit, what happened?
A 55 yo male with h/o smoking complained of 4 days of intermittent chest pain lasting up to a few hours each day. He presented to the ED…
Prehospital ST Elevation and pain resolve with NTG. ECG and Echo normal in ED.
The resolution of symptoms and the ECG in this case is similar to the last post, but the ST and T-wave morphology of the ECGs are quite…