ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand!
This case comes from Sam Ghali (@EM_RESUS). A 60-year-old man calls 911 after experiencing sudden onset chest pain,…
Right Bundle Branch Block and ST Depression in V1-V3. Is that normal? And a complication.
A late middle-aged male with h/o 3 vessel bypass (CABG), type 2 diabetes, peripheral vascular disease, DVT, Chronic Kideny Disease, and…
Shoulder pain after lifting a heavy box
Written by Pendell Meyers, edits by Steve Smith This will be too easy for most long-time readers, but if you are at that level, sit back and…
Altered Mental Status, Bradycardia
911 was called for an elderly woman who fell and was confused. Medics found her unresponsive, with “convulsive”…
A female in her 60s who was lucky to get expert ECG interpretation
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the critical care section of the ED…
Is there Wellens’ syndrome in left bundle branch block? Or in inferior and lateral leads?
Written by Pendell Meyers, with edits by Steve Smith A male in his 80s old had acute onset of chest pain. Here is his first ECG, time…
New paper by Smith: New Insights Into Use of the 12-Lead ECG for Diagnosing Acute MI in the Emergency Department
We just published this paper in the Canadian Journal of Cardiology. The February 2018 issue is on “Advances and Controversies in…
Syncope and Prehospital Cath Lab Activation for Posterior STEMI
A middle-aged man had syncope. This ECG was recorded prehospital; here are the limb leads: What do you think? Notice that there are inverted…
ST Elevation after Stab Wound to the Heart
A young man presented after a stab wound to the chest. Rapid ED diagnosis of cardiac penetrating trauma was made by ED ultrasound, and…
Chest pain and a non-diagnostic ECG. No worries, right?
A middle-aged male complained of chest pain and called 911. 3 prehospital ECGs were recorded. Here is the time zero ECG: Just some…