An unstable wide complex tachycardia resistant to electrical cardioversion
Thanks to our electrophysiologist, Rehan Karim, for his help with this post. Case A very elderly inpatient suddenly had a rapid pulse by…
Chest Pain, LBBB, and a ratio that does not quite meet the Modified Sgarbossa Criteria
Case A 55 year old male heavy smoker presented with agonising chest pain and this ECG: There is sinus rhythm. There is left bundle branch…
Chest pain, ST elevation, and negative serial trops: normal variant (“early repol”). Right?
Case A 58 year old man presented with intermittent chest pain for 2 weeks. He has active pain at the time of this initial ECG: QTc is 455 ms…
Inferior MI? Or LVH?
A middle-aged male presented with acute chest pain: There is sinus rhythm. There is LVH by voltage in aVL, with what may appear to be…
Patient with severe DKA, look at the ECG
This patient presented with severe DKA. Here is the ECG: Sinus tachycardia. What do you think? The computer and physician reader wrote:…