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…
Signed off as “normal, no concern”
From Avery Kechter in Cork, Ireland (Avery is a former resident at Hennepin who married another former resident who is Irish. They recently…
Reciprocally Inverted Hyperacute T-Wave. What is that?
Written by Robert Herman, MD, PhD with Edits by Stephen W Smith (with adaptation by Ken Grauer from the original…
An elderly man with weakness, diaphoresis, and near-syncope
Sent by anonymous A man in his 70s with history of hypertension experienced 5 days of worsening generalized weakness and suffered a…
60 yo with Chest pain and cardiogenic shock, with acute LV failure. Does it matter what the ECG shows? And why is the entire heart affected?
A 60-something male with CAD w prior stenting, prior LV thrombus, ischemic cardiomyopathy, HFrEF with his last ejection fraction (EF) at…
An 80-year-old with intermittent CP
Written by Magnus Nossen An 80-year-old man with a history of hypertension and paroxysmal atrial fibrillation contacted EMS due to episodes of…
30-something with chest pain
This was sent by a former resident. A 30-something male presented 4 hours after onset of chest pain. He had had some chest pain 2 days earlier…