Hyperthermia and ST Elevation
This was submitted by Alexandra Schick. Dr. Schick is a PGY3 at the Brown Emergency Medicine Residency in Rhode Island. I remember…
What is going on here?? (The computer called it “STEMI” and “Intraventricular Conduction Delay”!!)
I was asked by my partner to interpret this ECG because the Veritas algorithm had called it “STEMI” and Intraventricular…
A 70-something with Ventricular Paced Rhythm and Chest Pain
A 70-something presented with stuttering chest pain for a couple days that became constant shortly before presentation to the ED. I was shown…
Ventricular Tachycardia? Or SVT with Aberrancy?
This was texted to me, by a recent residency graduate, with the following information: “70-something w hx of TAVR (aortic valve…
Anterior ST Elevation and a High Initial Troponin.
I was shown this ECG with the history that the patient had chest pain: What do you think? This is what I said: “This is not anterior…
Pre-existing Left Bundle Branch Block and Atrial Fib: what is alarming on this routine pre-procedure ECG?
An elderly patient had a pre-procedure ECG (ECG-1). She was asymptomatic. The patient had known Left Bundle Branch Block (LBBB)…
Anterior STEMI Evolves to de Winter’s T-waves
A middle-aged man called EMS for chest pain. This prehospital ECG was recorded: Obvious Anterior STEMI due to proximal LAD occlusion (with STE…
Inferolateral STEMI: is there right ventricular MI also?
A middle-aged patient called 911 for 1 hour of chest pain. He was hemodynamically stable. Here is the prehospital ECG: Obvious inferior MI,…
What will you do for this altered and bradycardic patient?
Written by Pendell Meyers A female in her 60s with COPD, DM, hypothyroidism, CAD, and severe bladder cancer presented from a nursing home with…
The Interventionalist Refuses Angiography, and even to speak to the Emergency Physician
A recent residency graduate, let’s call her “The Graduate” or “TG,” texted me these ECGs from somewhere far away…