50 year old with shortness of breath
Written by Matt McArthur, edited by Jesse McLaren ED Triage nurse comes to me and asks to look at the ECG of a 50 year old patient. They…
Quiz post: both patients with acute chest pain in the middle of the night, which or both or neither need emergent reperfusion?
Published study: When the ECG was very difficult, the Queen was 7.36 times more likely to be correct than the Standard of Care. Patient #1:…
Acute Cardiogenic Shock in a patient with ventricular paced rhythm.
A 70 something with history of coronary disease and pulmonary embolism presented with sudden onsent chest pain, diaphoresis, and abdominal…
A 50-year old with palpitations. How will you treat?
Written by Magnus Nossen Today’s patient is a 50-something male with a history of mechanical aortic valve due to aortic insufficiency. He is…
Intense burning chest pain in a 40-something woman
This was sent by a former resident: Aside: the worst thing you can be if you have an MI is a young woman. A couple other cases: = = =…
Chest pain and Right Bundle Branch Block
A 62 yo male with h/o CAD and stent in 1st OM presented with Chest pain while biking. Vitals were normal. An ECG was recorded: What do you…
“Sepsis” with an ECG and Echo surprise
A woman in her 80s presented for hypotension. She had been feeling generally unwell for 3 days. Caregivers report that she has some mildly…
Is this ECG easy for you yet?
See the ECG before context: = = = A woman in her 40s presented with shortness of breath and chest pain. She was tachycardic but other vital…
Dofetilde (and ibutilide -Class III antidysrhythmics). What is the risk? How does it show on the ECG? What to do about the complication?
By Willy Frick CASE PRESENTATION A middle aged woman with HFrEF (EF 25-30%) and persistent atrial fibrillation was admitted to the hospital…
Fast, narrow, regular. What is it? More difficult: what to do??
A middle-aged man with h/o asthma presented with SOB, especially with exertion. He also has positional chest pain. This started a few weeks…