A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index EKG
A 60-year-old male with hypertension and diabetes presented to the emergency department for two hours of substernal chest pain radiating to his jaw. The EKG from triage (Figure 1) is brought to the emergency physician (EP) stat due to some subtle abnormalities. Based on this EKG what are your next steps?
Michael Hohl MD and Ari Edelheit MD
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Figure 1. Index EKG
A 34-year-old male with a history of heart failure with reduced ejection fraction of 20-25%, hypertension, and cocaine use disorder presented to the emergency department with leg swelling, cough with bloody sputum, and chest pain on exertion.
Michael Hohl MD and Ari Edelheit MD
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Figure 1. Index EKG
A 70 year old female with HIV, diabetes, hypertension, COPD/asthma, and CKD3 presents to the emergency department with a complaint of worsening shortness of breath. She believes her shortness of breath is typical of her COPD exacerbation but notes new, intermittent left-sided chest pressure. The initial lab results are significant only for a BNP of 545. The vitals are notable for bradycardia with a rate in the 40s. The patient's initial EKG (Figure 1).
Abish Kharel, MD and Ari Edelheit, MD
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