When the ECG is more revealing than the HPI
Written by Alex Bracey with edits from Pendell Meyers and Steve Smith A woman in her 60s presented to the ED as a referral from an…
A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days
Written by Pendell Meyers with edits by Steve Smith Bystanders called EMS for a man in his 50s “not acting right.” Medics found a…
Why is there ST Elevation in lead V2? Think Lead Placement.
I was shown this ECG of a 40-something intoxicated male with altered mental status. The provider was very worried about LAD…
Atrial Fibrillation w Rapid Ventricular Response and ST Depression Maximal V1-V4: Not always subendocardial.
A patient presented a few years ago with chest pain, but also cough, low grade fever, and malaise. She had one prehospital saturation at…
What are these ST elevations, ST depressions, and tall T waves diagnostic of?
Written by Pendell Meyers Let’s see this presentation ECG without any context first (no baseline ECG was available) What do you…
Typical Chest Pain: Would you activate the cath lab? Would you advocate if the interventionalist was not interested?
A 50-something woman complained of acute chest pain radiating to the left arm, onset while driving. It would briefly improve with NTG.…
A man in his 30s with greater than 12 hours of chest pain
Written by Bobby Nicholson MD, with edits by Meyers A man in his early 30s presented at 7:35am to the ED with chest pain (7/10)…
Let’s Use Aslanger’s simplified formula on this case (simplified Smith LAD occlusion/early repol formula)
This was posted in August 2019: Acute Chest pain in a 50-something, and a “Normal” ECG Chris Mondie of…
See this: Occlusion/Reperfusion/Re-occlusion/Reperfusion/Re-occlusion/Reperfusion
A 60-something y.o. male presented with intermittent left-sided chest and shoulder pain that is achy in nature and lasted a few minutes or…