Pseudonormalization of Wellens’ Waves
A male in his 60’s complained of intermittent chest pain all day. He was vague as to whether there was active chest pain, but it…
Incessant Regular Wide Complex Tachycardia
A male in his 50’s presented after a witnessed syncopal episode. He reported multiple syncopal events over the last 1-2 months with…
Inferior STEMI? Read the ECG systematically.
Leads V1 and V2 appear to be reversed. Otherwise, what is it? This diagnosis may be obvious to some, but it is easy to let your eyes be…
Pseudo High Lateral STEMI — How not to be deceived by ST elevation in aVL
This ECG was shown to me with no other information: My response was: this is normal variant ST elevation in I and aVL. …
Cardiac Arrest: To the cath lab with ongoing chest compressions
A male in his 20’s with no past medical history was found in cardiac arrest. He had been complaining of chest pain. Medics…
Prolonged chest pain and Intraventricular Conduction Delay similar to Left Bundle Branch Block
A 67 year old male with no previous cardiac history or risk factors woke up at midnight with right-sided chest pain. It was the “worst…
Is This a Simple Paced Rhythm?
A very complex patient presented critically ill. This was his initial ECG: There are pacer spikes. Is this a simple paced rhythm?…
Complaint of Weakness. Alert. Hemodynamically Stable. What is it?
A male in his 60’s, dialysis patient, complained of weakness. He was alert and had no SOB or Chest pain. BP was 85/57 with a…
ST Elevation and a Positive Troponin: Is it Myopericarditis or STEMI?
A 51 yo male smoker with no other CV risk factors and no previous heart disease presented to a hospital without PCI capability complaining of…
Dyspnea on Exertion and a Positive Troponin
A woman in her 50’s complained of dyspnea on exertion for two days. Her lungs were clear on exam. Her first troponin I…