Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis?
A male in his 60’s with med h/o only significant for HTN and hyperlipidemia presented for CP and SOB. On the day prior,…
Transient ST elevation and Peaked T-waves. Unstable Angina and Hyperkalemia.
Sinus rhythm. ST elevation in I, aVL, V5, V6, with ST depression in V2-V4, diagnostic of posterolateral STEMI. There are peaked…
Blunt Trauma in a Child
For a related tragic case, click here. A child between the ages of 5 and 10 was restrained in a motor vehicle collision and sustained multiple…
Extremely Subtle ECG, but Bedside Echo Shows Wall Motion Abnormality and Ischemic Pain Cannot Be Controlled Medically
A male in his 40’s with no previous cardiac history had presented to a clinic recently with chest burning, had a nondiagnostic ECG, and…
Acute Pulmonary Edema, Respiratory Failure, and LBBB
A man in his 70’s called 911. When medics arrived, he was in extremis with respiratory failure, able only to say he has a history…
Regular Wide Complex Tachycardia. What is the Diagnosis?
A male in his 40’s with no previous heart history presented with palpitations. There were no symptoms or evidence of…
Right Bundle Branch Block with ST Elevation in V1?
There is a wide QRS with a tall R-wave in aVR and V1 and wide S-wave in lateral leads, leading one to believe this is RBBB. There is ST…
Heart rate of 230 beats per minute
What can you say about this ECG at a rate of 230 beats per minute? Answer below The QRS is very narrow (about 70 ms?), so it must be a…
Young African American Male with Atypical Stabbing Chest Pain
An thin, athletic African American of age under 30 had some chest trauma and stabbing pain that was positional. He had this ECG…
Inferior MI with positive troponin: Acute STEMI or Old MI with new NonSTEMI?
A 40 year old male without cardiac risk factors and with no h/o CAD presented with a few days of intermittent typical chest pain. He has…