The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock
A 60-something presented with hypotension, bradycardia, chest pain and back pain. She had a h/o aortic aneurysm, aortic insufficiency,…
Saddleback ST Elevation. Is it STEMI? Is it type II Brugada?
A 50-something presented with epigastric and chest pain. Here is his ECG: What do you think? QTc 388 ms. Computer interpretation: SINUS…
Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.
Written by Pendell Meyers with edits by Steve Smith A male in his 60s presented with off and on shortness of breath and chest pressure over…
Large T-waves and a Computer Interpretation of ***Acute MI***
This ECG was texted to me with no information: I answered: “Show me the whole 12-lead.” Here it is: Computer Interpretation: SINUS…
Chest Pain and RBBB. What do you think?
An elderly woman presented with 25 minutes of chest pain after working out. This ECG was texted to me and I viewed it on my phone hurriedly…
A Computer “Normal” ECG. What is the diagnosis?
I posted this one on October 9, but it was buried in a discussion of a paper on triage ECGs: Another Inadequate Paper Published on Triage…
Was the intern correct?
Written by Pendell Meyers, case submitted by Max Macbarb, edits by Steve Smith A 71 year old gentleman with history of CAD and PCI presented…
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
This patient called 911 for chest pain. The medics did an amazing job of recording serial ECGs. Time zero Hyperacute T-wave and subtle…
Two cases texted to me for concern of inferior hyperacute T waves and a flipped T in aVL – do either, neither, or both need emergent reperfusion?
Written by Pendell Meyers I received two texts recently, in both cases the practitioners were worried about possible inferior hyperacute…
Extreme Bradycardia: a Case-Based Lesson in Pacing
I tell the residents: “The pacemaker is just common sense: if there is no beat, it provides one; if there is one, it keeps itself from…