Cardiology
ECG Challenge
Chest Pain and Vomiting with Prior Heart Attack
Three hours ago, this 69-year-old man started to experience substernal chest pain, nausea, and vomiting. He had stopped for lunch after spending...
Video
Is same-day discharge after PCI safe?
ECG Challenge
The Flu, or a Problem with His Pacemaker?
A 75-year-old man presents to your office with complaints of shortness of breath. He states he has had “the flu” for the past week, but it doesn’t...
Clinical Review
Kawasaki Disease
ECG Challenge
Man Waits Until Follow-up to Reveal Chest Pain
A 64-year-old man presents for follow-up to an appointment one month ago in which he reported a history of acute-onset shortness of breath,...
ECG Challenge
Man in Distress With Lower Extremity Pain
A 53-year-old white man is referred for an adenosine myocardial perfusion scan stress test prior to left femoral popliteal bypass graft surgery....
PURLs
Treating pulmonary embolism at home?
For select patients, acute PE can be managed safely and effectively without hospitalization.
ECG Challenge
Woman with “Dull, Achy” Back Pain and Shortness of Breath
A 70-year-old woman has a 10-year history of a dilated nonischemic cardiomyopathy and New York Heart Association Class II heart failure. She...
ECG Challenge
Is This Golfer's Pacemaker Malfunctioning?
A 75-year-old man has a history of New York Heart Association Class II congestive heart failure (CHF), coronary artery disease (CAD) with coronary...