Three EKGs shown to me – which if any need emergent reperfusion?
Written by Pendell Meyers We commonly get feedback from readers who are skeptical that we can pick out the subtle NSTEMI occlusions from…
Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!
I was shown this ECG with no other information: What do you think? Hint: try to see through the artifact! I answered immediately: “High…
An 80 year old man in VF arrest
An elderly man suffered out of hospital cardiac arrest. He was found in V Fib by EMS. He was shocked out of VF multiple times and arrived in…
A Pathognomonic ECG. What is it?
This patient presented with weakness, decreased urine output, and vomiting: What is the ECG diagnosis? There is a very long QT (computer says…
IVCD, Saddleback STE in III, with reciprocal STD in aVL: Is it pseudoOMI or OMI? Echo with Speckle Tracking gives the answer.
A 77 y.o. woman with a history of hypertension and congestive heart failure presented for acute onset chest pain and shortness of breath. She…
A 50-something with chest pain presents to a Non-PCI capable facility
An avid reader sent me this case. He learned to read subtle ECGs here. Case A 50-something presented with chest pain. A triage ECG…
What is this rhythm? And what else does it show?
This was sent to me by my friend Sam Ghali (@EM_RESUS), https://twitter.com/EM_RESUS, with no information. Sam frequently just sends ECG…
A Patient with Respiratory Failure and a Computer “Normal” ECG
This ECG was presented in a conference. The patient had presented many times for SOB. On this occasion he was intubated for respiratory…
Chest pain resolved, and a “Normal” ED ECG
A previously healthy middle-aged male presented shortly after the acute onset of chest pain very shortly before calling 911. On arrival, he…
What will you do for this patient transferred to you who is now asymptomatic?
A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness…