A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
The Case:
A 72yo M presents via EMS for chest pain that started while chopping wood. Initially, an ECG was sent by EMS en route with concern for ST-segment elevation. 324 mg PO aspirin and 400 mcg of sublingual nitroglycerin were administered prior to arrival. Vitals per EMS were notable for bradycardia and hypotension.
Stewart Pine, MD
Read More
Figure 1. Index ECG notable for sinus tachycardia with S1 Q3 T3 pattern.
The Case:
A 58-year-old M with no reported PMHx presenting with shortness of breath and the following ECG. The patient endorses 1 week of exertional dyspnea that evolved to include pleuritic chest pain one hour prior to arrival. He had severe shortness of breath on awaking. He denied hemoptysis, lower extremity edema, calf pain, history of VTE, hormone use, recent surgery, or prolonged immobility.
Jose Reyes, MD
Read More
Figure 1. Index visit ecg.
The Case:
A 72-year-old woman presents with chest pain. Her ECG is abnormal in a few ST segements, but not because of your typical ST segment elevation. Here we relay a discussion of a particular channelopathy important to consider for the emergency physician.
Vladimir Bernstein, MD
Read More