Bizarre (Hyperacute??) T-waves
Thanks to one our great HCMC nurses, Ryan Burch. He figured this one out. A dialysis patient presented with dyspnea. He was a bit…
Is this ECG diagnostic of coronary occlusion? Also: Inferior de Winter’s T-waves on prehospital ECG??
This post was written by one of our fantastic Hennepin County Medical Center Emergency Medicine interns who is an ECG whiz, Daniel Lee. A man…
Our patients deserve better than the “STEMI criteria”
Written by Pendell Meyers, of the Stony Brook class of 2019, with edits by Steve Smith Two Cases Imagine that two patients present…
A 40-something male with epigastric pain
A 40-something male presented with epigastric pain. An ECG was recorded immediately (time zero): This was texted to me asking for my opinion.…
Chest pain, sinus tachycardia, and ST Elevation
I was reading through ECGs on the system when I saw this one: Sinus tachycardia, rate 120 Computerized QTc = 380 ms What do you think? I…
A middle-aged man with severe syncope, diffuse weakness
A middle-aged male diabetic who is otherwise healthy was found unconscious by his wife, with incontinence. He quickly awoke but was too…
I was texted this ECG: “Middle-aged male with Prehospital Cath Lab Activation”
A physician caring for his new arrival, a 50-something with acute chest pain and dyspnea and syncope, texted me this initial ED ED ECG. The…
24 minute lecture: The False STEMI Non-STEMI Dichotomy from SMACC-Chicago: now online again
This is a lecture I gave it at Social Media and Critical Care Conference in Chicago (SMACC-Chicago) in June 2015. It’s title for the…
Lecture, updated: Subtle ECG Findings of LAD Occlusion
This was recorded at a lecture I gave at Controversies and Consensus in Emergency Medicine in Northamptom MA. This newly posted lecture is…
Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics
For more on Terminal QRS distortion, see these posts: Best Explanation of Terminal QRS Distortion in Diagnosis of Electrocardiographically…