PediatricSinus Tachycardia Extreme1 Min Read Steve SmithonJanuary 29, 2013 Heart rate of 230 beats per minute What can you say about this ECG at a rate of 230 beats per minute? Answer below The QRS is very narrow (about 70 ms?), so it must be a…
Benign T-wave Inversion1 Min Read Steve SmithonJanuary 24, 2013 Young African American Male with Atypical Stabbing Chest Pain An thin, athletic African American of age under 30 had some chest trauma and stabbing pain that was positional. He had this ECG…
LV aneurysm2 Min Read Steve SmithonJanuary 20, 2013 Inferior MI with positive troponin: Acute STEMI or Old MI with new NonSTEMI? A 40 year old male without cardiac risk factors and with no h/o CAD presented with a few days of intermittent typical chest pain. He has…
anterior STEMI equationLAD occlusion vs. benign early repolarizationunstable angina3 Min Read Steve SmithonJanuary 16, 2013 Male in his 40’s with chest pain. A male in his 40’s was in his usual state of health until 3 hours prior when he developed L-sided chest pressure, radiating to the neck,…
bradycardiahyperkalemia2 Min Read Steve SmithonJanuary 10, 2013 Bradycardia A 60’ish male presented with 2 weeks of intermittent chest pain. He has a history of MI and renal insufficiency. Now he…
Drug EffectflecainidePseudoSTEMIRBBBSodium Channel Blockade3 Min Read Steve SmithonJanuary 4, 2013 Right Bundle Branch Block with New Anterior ST elevation An elderly female with no known history of CAD presented to the ED as a walk-in with vomiting and upper abdominal discomfort. The…
posterior leadsposterior STEMIPrevious ECG5 Min Read Steve SmithonJanuary 1, 2013 Precordial ST depression. What is the diagnosis? A middle aged male with no h/o CAD presented with one week of crescendo exertional angina, and had chest pain at the time of the…