What kind of AV block is this?? And where is the coronary occlusion??
For couple very interesting related posts, click here. A 76 year old male presented with chest pain. Here is the initial ECG:…
Posterior Leads Fail to Diagnose Posterior STEMI
For more cases of posterior MI: https://drsmithsecgblog.com/search/label/posterior%20STEMI A 54 year old male with recent angiogram that…
LBBB: is there STEMI?
A 45 year old male with no history of cardiac disease presented with new onset pulmonary edema. He was intubated prehospital. BP…
29 year old, healthy, with pleuritic chest pain
A 29 year old male presented with 6 hours of stuttering chest pain, constant for the last hour, worse with breathing. He had no medical…
Is it MI or pericarditis?
I had a recent comment on this post, which was put up 7 years ago (850 posts since then!). I was reminded of it. And so I thought…
Wide complex tachycardias: 2 cases. What is the diagnosis and management?
This is the most widely misunderstood problem in Emergency tachydysrhythmia care. There are many textbooks and articles and preparatory…
Stuttering thrombus in the LAD, dynamic hyperacute T-waves, Q-waves, full resolution at 3 months
A 70 y.o. woman who presented with L arm pain that started at 6:45 in the morning when she woke up. Pain was also in the upper…
Wellens’ missed. Then returns with Wellens’ with dynamic T-wave inversion
This 53 year old woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…