atrial flutterpseudoinfarctionST depression1 Min Read Steve SmithonNovember 29, 2011 Atrial Flutter Mimicking ST Depression A 65 year old presented with altered mental status and had an intracranial bleed: One could be fooled into thinking this is sinus tachycardia…
hypercalcemiahypothermiaJ-wavesosborn waves2 Min Read Steve SmithonNovember 25, 2011 Osborn Waves and Hypothermia Case 1. Temperature 30 degrees Celsius (86 degrees F) due to environmental hypothermia. There is very slow atrial flutter (rate =…
atrial flutterpseudoinfarction2 Min Read Steve SmithonNovember 19, 2011 Tachycardia with Pericardial Effusion A 52 year old man with a history of atrial fibrillation and prosthetic mitral valve replacement just 11 weeks prior presented with a complaint…
brugadacarbon monoxide poisoningfalse positive cath lab activation2 Min Read Steve SmithonNovember 16, 2011 Anterior ST elevation: is it STEMI? I received a call from an outside hospital. A 31 year old healthy auto mechanic had a prolonged exposure to Carbon Monoxide in his…
hyperacute T-wavesinferior hyperacute T-wavestype III LADwraparound LAD1 Min Read Steve SmithonNovember 11, 2011 Hyperacute T-waves, with a Twist A 30 year old male complained of chest pain and then collapsed. He was resuscitated from ventricular fibrillation. He arrived at…
atrial repolarization waveST depression3 Min Read Steve SmithonNovember 9, 2011 Atrial Repolarization Wave Mimicking ST Depression A 25 year old woman presented with a caffeine overdose and chest discomfort. This is her ECG: There is sinus tachycardia (rate =…
concordanceexcessively discordant ST depressionLBBBsubendocardial ischemia2 Min Read Steve SmithonNovember 4, 2011 Left Bundle Branch Block (LBBB) with Chest Pain, concordant and excessively discordant ST depression V2-V6 A middle-aged male presented pain free after an episode of chest pain. Here is the initial ECG (sorry some is cut off — it is an…