Hyperacute T-waves? Anterior STEMI? No, LVH with PseudoSTEMI pattern!
A woman in her 30’s with h/o HTN presented with atypical chest pain after a stressful event. Here is her ED ECG: There is sinus…
Is this Left Bundle Branch Block? Is there STEMI?
A male 1 ppd smoker in his 50’s with no prior cardiac history called 911 because the chest pain and left arm pain, with SOB and…
New Book Published by Dr. Wang: ECG Self-Study Book
http://www.amazon.com/ECG-Self-Study-Book-K-Wang/dp/9350909960 ECG Self-Study Book is a practical guide to help trainees interpret ECGs and…
31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with Great Commentary on Bias!
This was submitted by a fantastic medical student who wished to remain anonymous: (Update on June 2, 2020): I can now say that is was…
Young woman with weakness. The ECG is pathognomonic. What is it?
A young woman presented by EMS for weakness. Here is her ED ECG: Diagnosis? See Below. There is sinus rhythm. There is a very wide…
Friday’s post produced skeptics…..
I have been posting ECGs like this for so long that I erroneously thought everyone would see the inferior STEMI here. I was just posting…
A Male in his 60s with Chest pain. What is the ECG Diagnosis?
Here is the ECG of a man with 2 hours of chest pain. He had a history of MI with LAD stent. I cannot find his prehospital ECG, but…
Pseudoanteroseptal STEMI in the Setting of Paced Rhythm
This is a case we published in JAMA internal medicine this year. I can’t give you the full text, but even limited access is pretty…
How to measure ST Elevation at 60 milliseconds after the J-point in lead V3, relative to the PR Segment
The formula for differentiating early repol and anterior STEMI requires one measurement which many have found difficult to understand. Here is…