Fascinating Wide Complex Tachycardia and instructive ECGs during chest pain
Written by Magnus Nossen Today’s patient is an 80-something male with a history of CABG. Since his bypass surgery years ago, he had not…
Is this a wide complex rhythm? (And what is the etoliogy, after you hear the history)
What do you think? = = = = = = = = = = = = = = = This is NOT a wide complex tachycardia. This is atrial fibrillation with “Shark…
“Non-diagnostic” (even in retrospect) according to an entire conference full of ED docs and cardiologists.
Subtitle: It’s not the ECG which is “Non-diagnostic” — it is the physicians who are “Non-diagnostic!” This…
A 50-something with chest pain. Look what happens if you don’t use the Queen of Hearts.
I came across this ECG while reading through all the ECGs on the system. The computer interpretation, confirmed by a cardiologist, is: = = =…
Will this patient get care of the past or care of the future? (NSTEMI is a worthless diagnosis)
Sent by anonymous A woman in her 40s presented with acute chest pain. Her vitals were within normal limits. Here is her triage ECG: Readers of…
A male in his 30s with cardiac arrest. What is the etiology?
Written by Magnus Nossen A man in his early 30s was found unresponsive in bed by his wife. She immediately initiated CPR. Upon arrival,…
Elderly F w h/o MI has nausea and vertigo, with RBBB. And what is the data on thrombolytics for patients without ST Elevation?
An elderly woman with h/o diabetes and prior MI with a stent presented with acute nausea and vertigo to a very remote hospital where acute OMI…
ED patient with esophageal cancer and need for G-tube replacement
An elderly male presented to the ED with need for G-tube replacement. This was done, and an abdominal X-ray was done to confirm placement.…
A man in his 60s with chest pain. Are these very small T-waves hyperacute?
Sent by Anonymous, written by Pendell Meyers A man in his 60s developed sudden chest pain, dizziness, diaphoresis, and shortness of breath…
STEMI positive by conventional algorithm in a high risk post operative patient.
A man in his late 60s was convalescing in the hospital following bilateral lung transplantation for pulmonary fibrosis. Medical history is…