Intermittent third degree heart block due to stuttering inferior STEMI
A 71 year old male complained of near syncope and SOB without any chest pain. His pulse was slow. He was put on the monitor. …
Interesting new paper: in this study, even interventionalists had a hard time differentiating non-ischemic ST elevation from STEMI
Reference: Tran V, Huang HD, Diez JG, et al. Differentiating ST-elevation myocardial infarction from nonischemic ST-elevation in…
Benign T-wave Inversion: view video or read text
Benign T-wave Inversion from HQMedEd on Vimeo. There are many etiologies of T-wave inversion. We are most worried about ischemic T-wave…
Weak, SOB, “DKA”, Chest Pain, and Wide Complex Tachycardia: Is there STEMI?
This case was sent by a reader: A 60 year old man presented with “DKA,” Weakness, Dyspnea, and Chest pain with vomiting. He…
Wide Complex Tachycardia after Ingestion and Seizure
A young man presented after a prolonged seizure. He had had a fight with his girlfriend, and she thinks he ingested something, thinks it was…
Exertional Chest pain and Near Syncope in a Young Adolescent
An adolescent female presented for increasing chest pain (sometime sharp, sometime like someone standing on her chest) and palpitations with…
Anterior ST elevation with large broad T-wave: what is the diagnosis?
A 41 year old male presented to a clinic with chest pain. Here is the ECG: There are very large, scary T-waves, with significant ST…
WPW mimicking and obscuring acute MI
This was inspired by an undergraduate named Harvey Pendell Meyers, who knows a heck of a lot about ECGs. How is that possible, as an…