Incomplete LBBB, posterior STEMI, posterior leads, in a snowstorm
A 76 yo male had Chest Pain followed by a cardiac arrest. He was resuscitated in the field, and had hypotension annd electrical storm in the…
LAD occlusion in the setting of paced rhythm
An 80 yo male presented with chest pain. There is clearly a ventricular paced rhythm. Normally in a paced rhythm, the QRS is all negative from…
Weakness due to Bradycardia 2nd Degree Sinoatrial block, with Ashmann’s phenomenon
A 68 yo female with a history of HTN on metoprolol and of paroxysmal atrial fib presented with weakness. This is her ECG. There is sinus…
Cardiac Arrest, hypotension, tachycardia
A 65 yo woman had felt ill for 36 hours, had seen her MD but without undergoing a cardiac evaluation. She collapsed and 911 was called; she…
Two more Cases of Takotsubo Stress Cardiomyopathy
Case 1. This is the ECG of a 50 yo old woman who collapsed, was found to have a pulse, but then found to be in ventricular tachycardia. She…
Takotsubo Stress Cardiomyopathy
Unfortunately, the ultrasound images of this case were lost. Briefly, this woman without significant cardiac history went into pulmonary edema…
Computer misses again — two cases: one very obvious, one very subtle
Case 1. A 63 year old male had chest pain and syncope after playing hockey (this is Minnesota). A prehospital ECG showed inferior ST elevation…
ST depression V2-V4: Posterior leads, resolution of pain, and absence of posterior wall motion abnormality ruled out posterior STEMI
I saw this 59 year old male 3 weeks ago. He had no previous history of CAD, and presented with very typical waxing and waning chest pain, much…
Cardiogenic Shock and Pulmonary Edema due to Subacute Anterior STEMI
This is a 72 yo male whose symptoms began with a cough 12 hours prior to presentation, at which time he had CP, SOB, and resp distress. On…