Pseudoanteroseptal STEMI in the Setting of Paced Rhythm
This is a case we published in JAMA internal medicine this year. I can’t give you the full text, but even limited access is pretty…
How to measure ST Elevation at 60 milliseconds after the J-point in lead V3, relative to the PR Segment
The formula for differentiating early repol and anterior STEMI requires one measurement which many have found difficult to understand. Here is…
Beta Blockers in Anterior STEMI: Have We Come Full Circle?
A new small randomized trial suggests that early intravenous metoprolol, early after symptoms and prior to PCI for anterior STEMI, reduces…
Several Wide Complex Rhythms in One Patient. Test yourself: Will You See What I Did Not See?
This time I’m going to tell you that the case is mine because the mistakes were mine. I sat down to write one narrative, but as I…
Terbutaline and Albuterol for Lowering of Plasma Postassium
The below abstracts show that beta 2 adrenergic agonists are effective at treating hyperkalemia. They do so by “shifting” K…
What Does this ECG tell us about the Electrolytes?
See description and answer below Hint: this is a dialysis patient 1. There are peaked T-waves 2. There is a long ST segment, resulting in a…
CHF Exacerbation with Old LBBB: Is There New Infarction or Not?
An very elderly woman with a h/o CAD with stents to the RCA and circ, mild aortic stenosis, h/o ischemic cardiomyopathy, EF 25%, and h/o heart…
You MUST recognize this pattern, even if it is not common
Disclaimer: I never state from where I get a case. They come from all over the world. Any case may or may not be from my own…
Another STEMI in a Young Person with no CP or SOB: Why We Should Record an ECG for Unexplained Nonspecific Symptoms
There are many interesting facets to this case. I have highlighted the clinical factors over the ECGs, but the ECGs are very instructive…
Why we need continuous 12-lead ST segment monitoring in Wellens’ syndrome
Also see this incredible case of the use of 12-lead ST Segment monitoring. This was a male in his 50’s with a history of hypertension…