“12 mg of adenosine x 2 did not work, and neither did Electrical Cardioversion at 200J x 2”
This ECG was sent to me with the following message: “60-something with dyspnea. Tried adenosine 12 mg x 2 (didn’t do anything…
4 patients with ST elevation, infection, and elevated troponin: which is Occlusion MI and which is myocarditis?
By Matthew McArthur and Jesse McLaren 4 patients presented with ST elevation, active infection with or without fever, and elevated troponin.…
80 year-old female with epigastric burning and previously diagnosed LBBB
By Jesse McLaren An 80 year-old female with a history of diabetes and CABG called paramedics for 2 hours of epigastric burning that did not…
This was sent to me. What is the diagnosis?
What do you think? It looks very bizarre. Differential: 1) Severe ischemia 2) arterial pulse tapping artifact (APTA) (but it is not APTA…
Can a patient be lucky if he goes into ventricular fibrillation? Yes. But accurate ECG interpretation (and the Queen of Hearts) can prevent it.
Also, listen to young doctors. They often know much more than the experienced ones. This was sent by Ahmed Adel. Hello, Dr. Smith. I hope…
If you can’t listen to a good student, your patient might be in trouble (and use the Queen of Hearts)
This case was sent to me by Ahmed Marai, who is a medical student. Ahmed received it from Omer Mohammed, a fifth-year medical student from…
Syncope with ST Elevation and T-wave inversion
This was sent by a fine former resident, BG Tenbrink. A 20-something male had syncope while playing basketball. There was no chest discomfort,…
Chest discomfort. It looks very small but could have been a disaster.
A 50 something with no previous cardiac history, but with history of seizures, presented to triage with a few hours of chest tightness and…
Recurrent Seizures in a 40-something woman
Written by Matthew McArthur I saw a 40 year old female who had a ~3 minute, witnessed loss of consciousness at home a little after midnight.…
Let’s look back at this post from 16 years ago. How far have we come with these T waves?
Steve published this fantastic post 16 years ago which compares 2 important types of abnormally large T-waves. HyperKalemia with Cardiac…