The Right Decision for the Wrong Reason?
An 85-year-old man with a history of MI with stents woke up feeling unwell. He reported that the original sensation was difficult to describe,…
65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?
by Jesse McLaren A 65 year old with a history of COPD, coronary artery disease, reflux and cocaine use presented with chest tightness and…
STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.
A man in his mid 50s was playing soccer and collapsed. Bystanders initiated CPR and delivered 3 AED-advised shocks. The patient was intubated…
Chest pain and LBBB
A middle-aged male presented with chest pain, onset 1 hour prior. He had an ECG recorded immediately: What do you think? There is sinus with a…
Chest pain in a 50-something. How important are serial ECGs in patients with persistent pain?
A 50-something man had onset of chest pain which then resolved. About an hour later, the chest pain recurred and he went to the ED.…
Can you figure out this unusual Wide Complex Tachycardia?
Written by Magnus Nossen I was reviewing a patient’s prior ECGs for an ongoing study when I came across the tracings from today’s case. The…
Acute altered mental status, ST Elevation, Hyperacute T-waves, and evolving T-wave inversion. OMI?
EMS was called to a home for a “life alert” (a simple device used by patients to call for medical help in the outpatient setting).…
Do not interrupt the physician to show him/her this “Normal ECG”!! (Unless he/she uses the Queen of Hearts).
Because the physician is unlikely to make the diagnosis without the Queen. This was sent to me by a friend who was working at a small rural…
What do you make of these T wave inversions?
Written by Magnus Nossen Today’s patient is an overweight 77-year-old male with COPD and Stage 5 CKD (Chronic Kidney Disease) — who is…
How would you interpret these T wave inversions? And what is an “innocent bystander” on angiogram?
Written by Magnus Nossen I was reviewing ECGs at my computer when I came across today’s case. I have limited outcome information. I only know…