What do you think about this Left Bundle Branch Block?
I was reading through a stack of ECGs and saw this one: The Veritas computer algorithm called it Left Bundle Branch Block without ischemia.…
Is this terminal QRS distortion? Is there LVH?
This ECG of a patient was sent to me with the question, “Just LVH, no?” What do you think? First, is there Terminal QRS…
Can you see through this paced rhythm?
Written by Pendell Meyers An elderly female with known CAD and multiple stents, pacemaker, stroke, and COPD presented with 2 hours of…
What is this tachycardia that alternates from wide to narrow to wide?
This is 50-something who presented after a seizure and was unconscious and tachycardic: There is a wide complex, followed by a narrow complex,…
A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal)
A former resident sent this. He asked: “Hey Steve, Wanted to get your thoughts on this EKG:” What do you think? The computer…
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay.
Written by Pendell Meyers An elderly woman presented with acute onset chest pain and shortness of breath. EMS showed us their ECG on…
A Young Man with Sharp Chest pain
Suppose this patient had chest pain. What would you diagnose? What is the diagnosis? OK. I lied, just so you could assess your…
Tachycardia, fever to 105, and ischemic ST Elevation — a Bridge too Far
A near 60 year old male called 911 for increasingly severe fever and SOB. A prehospital ECG was recorded (not shown and not seen by me)…
The delay between OMI and STEMI claims yet another patient’s anterior wall
Written by Pendell Meyers with edits by Steve Smith An elderly woman with HTN presented with L sided chest pain, intermittent over the past…
Following Criteria Exactly, even the Modified Sgarbossa Criteria, Can Be Deadly
This was sent by a reader: Dear Dr Smith, I am an EM resident and a rather new reader of your blog. I am writing to ask for your opinion…