As ED doctors, we’re often handed EKGs every few minutes. Our minds initially will always go to ST elevations and possible myocardial infarctions. With this in mind however, what are the other, lesser seen variants that are equally as dangerous and also warrant immediate catheterization? Hyper-acute T waves Before starting to discuss STEMI equivalents, let’s …
Tag: stemi
Ultrasound Case of the Month – July
A 54 y.o male with a history of CAD and stents in the past presents for CP. Per pt, for the last two days he has been having mid sternal exertional cp radiating down his left arm, relieved by rest. Tonight the cp came on without exertion and has been persistent since. It does not …
EKG Case of the Month – March
An 85 y.o f with a hx of DM and HTN presents with chest pain that awoke her from sleep at 5am. She described the pain as substernal with some mild radiation to the back. It was associated with nausea and lightheadedness. On exam, the patient appeared to be in moderate distress from her pain, …
EKG Case of the Month
It’s a little after midnight when a middle aged male walks into the ED complaining of chest pain. The triage nurse immediately grabs you because she’s concerned about the way the patient looks. You walk into the room and see a man with mild diaphoresis and stable vitals. He mentions he started having pain in …
AOMC FOAMed 
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