This was sent to me. What is the diagnosis?
What do you think? It looks very bizarre. Differential: 1) Severe ischemia 2) arterial pulse tapping artifact (APTA) (but it is not APTA…
Can a patient be lucky if he goes into ventricular fibrillation? Yes. But accurate ECG interpretation (and the Queen of Hearts) can prevent it.
Also, listen to young doctors. They often know much more than the experienced ones. This was sent by Ahmed Adel. Hello, Dr. Smith. I hope…
If you can’t listen to a good student, your patient might be in trouble (and use the Queen of Hearts)
This case was sent to me by Ahmed Marai, who is a medical student. Ahmed received it from Omer Mohammed, a fifth-year medical student from…
Syncope with ST Elevation and T-wave inversion
This was sent by a fine former resident, BG Tenbrink. A 20-something male had syncope while playing basketball. There was no chest discomfort,…
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…