What is the rhythm?
A patient was found down approximately 30 minutes after taking methamphetamine. Bystander CPR. Medics found patient in PEA…
Two prehospital ECGs of patients with chest pain.
Written by Pendell Meyers and Steve Smith Here are two cases of middle-aged men with chest pain who had prehospital ECGs. Patient 1, ECG 1:…
Take the OMI Quiz and Test yourself against the Queen of Hearts
Click here for Quiz The PM Cardio Queen of Hearts AI model for ECG interpretation from Powerful Medical is still in its early days. Do…
Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.
A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse…
Is OMI an ECG Diagnosis?
Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of…
The current STEMI paradigm: Because STEMI criteria are not met, let’s wait until the myocardium is dead!!
This was sent to me by an inpatient nurse who reads this blog but wants to remain anonymous. An inpatient rapid response was called for a…
56 year old male had 5/10 chest pain for several hours, then presented to the ED in the middle of the night with 1/10 pain.
A 56 year old male with PMHx significant for hypertension had chest pain for several hours, then presented to the ED in the middle…
A 29 year old male with chest pain, ST Elevation, and very elevated troponin T
By Magnus Nossen This ECG is from a young man with no risk factors for CAD, he presented with chest pain. How would you assess this ECG? How…
A young woman with chest pain, cath lab activated
This case came from a friend whose sister was the patient. She knew I was interested in ECGs, so she took a photo of this one. A young woman…
Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia
An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they…