Chest pain and Very Large T-waves
A middle aged male had chest pain. There was suspicion of acute MI. The initial ECG was texted to me: The QTc is 423 ms. There is…
New 40 minute lecture on T-wave Inversion
T-wave Inversion I just found one mistake at minutes 7:00 to 7:30: The QRS axis is 90 degrees and the T-wave axis minus 30, for a QRST…
Look at II, III, aVF in this case, and the outcome…..
I just posted this case: Isolated “Inferior” ST Segment Depression: Not a Sign of Inferior Ischemia Today I post another case that…
Isolated “Inferior” ST Segment Depression: Not a Sign of Inferior Ischemia
I have long maintained that ST segment depression does not localize and the isolated ST depression in “inferior” leads is actually…
Is there ST Segment Depression here?
A middle aged male with a history of Hypertension, Diabetes, Hyperlipidemia, and CHF due to severe concentric LVH presented with severe…
ST elevation and depression: is it ischemia? The entire clinical context is critical.
This patient has a history of cardiomyopathy (EF 10%) and IVCD and heart failure and presented with altered mental status. BP was…
Paced rhythm. Are there hyperacute T-waves? See the T-wave evolution, even in paced rhythm.
This was sent to me by John Larkin, from Australia, who has a great ECG Blog called “ECG of the Week,” where he posted it, and…
Paced rhythm, Modified Sgarbossa negative, but with a Wall Motion abnormality.
This case was posted by my colleagues at the Hennepin Ultrasound Blog, as Apical Wall Motion Abnormality or Electrical Asynchrony? But there…
40 Minute Lecture with Many Cases: Complications of Acute Coronary Syndrome.
This lecture starts with 13:45 minutes of didactics, then goes on to 26 minutes of 11 case presentations. There are many ECGs and…
Severe LVH and PseudoSTEMI
An elderly male with end stage renal disease had hypotension (50’s systolic) and syncope (LOC, and loss of radial pulses) during…