A 40-something with Chest Pain
A 40 something presented with chest pain. Here is the ECG: QTc 415 ms. What is it? The QRS is normal size and…
Is this STEMI? Pattern Recognition is Key
This was sent to me, asking what I thought of it: A very elderly woman presented with weakness and diarrhea. There was no chest pain or…
This ECG is pathognomonic and you must recognize it.
This patient was found with a bottle of alcohol and altered mental status. His breath alcohol was 0.259. Due to bradycardia, a…
Anterorlateral STEMI? Old Anterior MI? But cath shows RCA thrombotic stenosis.
This case is from a frequent contributor, Brooks Walsh. With additions and edits by me. A 68 year-old man had been having chest…
Atrial Fib and RVR with a run of wide complex tachycardia. Was this Ventricular Tachycardia?
An elderly male with history of atrial fibrillation presented by ambulance. His prehospital tracing (lost, sorry) showed a 6-beat…
An Obvious LAD Occlusion that did not meet STEMI “Criteria”
This case was provided by Tom Bouthillet, who is Editor-in-Chief of EMS 12-Lead and Chief Content Architect of ECG Medical…
You can get fooled if you don’t read the ECG systematically
A middle-aged woman presented with chest pain continuous since the previous day. Here was the inital ECG: What is it? The treating…
A Missed STEMI. How could the Diagnosis have been certain?
A middle aged patient presented to the ED with “ischemic-sounding chest pain” of unknown duration. An ECG was recorded: The…
This ECG was texted to me last night with the question: Occlusion or Not?
This ECG was sent along with this text: “Thoughts? Occlusion or not? – context : cardiac arrest:” Here is my answer: …
Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality
A Middle-Aged male had chest pain. Here is his first ECG: Obvious Anterior STEMI (note that among the findings is terminal QRS…