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…
A man in his 50s with acute chest pain. See what happens when it is “Not a STEMI”
Written by Pendell Meyers, comments of course by Smith. Sent by anonymous A man in his 50s was walking his dog early in the morning when he…
Ventricular Fibrillation in a young patient during exertion
This was sent by Jack Cahill, a medical student in Britain who is a young ECG savant (like Hans Helseth). This 20-something patient collapsed…
What is the critical finding for establishing the diagnosis of this wide complex tachycardia?
This was sent to me by a former resident: A 38 year old with history of hypertension and obesity only presented with dizziness, abdominal…
NSTEMI (Non-STEMI, or Non ST Elevation MI) is a totally worthless diagnosis.
This ECG was sent to me with no information. What do you think? I responded: “Inferior OMI” The sender then sent the clinical…
65 year old with acute abdominal pain: does lack of chest pain exclude STEMI/OMI?
By Jesse McLaren A previously healthy 65 year old male presented with one hour of sudden, severe, non-radiating mid abdominal pain with nausea…
50-something with VF arrest – why is there diffuse ST depression with ST Elevation in lead III?
A 50-something male with no past history had onset of chest pain followed by arrest. After multiple shocks, he was resuscitated. He went into…
60-something male with 2 hours of chest pain
A 60-something male presented with 2 hours of chest pain. Here is his ECG: What do you think? This is diagnostic of proximal LAD Occlusion…