Osborn Waves and Hypothermia
Case 1. Temperature 30 degrees Celsius (86 degrees F) due to environmental hypothermia. There is very slow atrial flutter (rate =…
Tachycardia with Pericardial Effusion
A 52 year old man with a history of atrial fibrillation and prosthetic mitral valve replacement just 11 weeks prior presented with a complaint…
Anterior ST elevation: is it STEMI?
I received a call from an outside hospital. A 31 year old healthy auto mechanic had a prolonged exposure to Carbon Monoxide in his…
Hyperacute T-waves, with a Twist
A 30 year old male complained of chest pain and then collapsed. He was resuscitated from ventricular fibrillation. He arrived at…
Atrial Repolarization Wave Mimicking ST Depression
A 25 year old woman presented with a caffeine overdose and chest discomfort. This is her ECG: There is sinus tachycardia (rate =…
Left Bundle Branch Block (LBBB) with Chest Pain, concordant and excessively discordant ST depression V2-V6
A middle-aged male presented pain free after an episode of chest pain. Here is the initial ECG (sorry some is cut off — it is an…
Wellens’ syndrome, no culprit, what happened?
A 55 yo male with h/o smoking complained of 4 days of intermittent chest pain lasting up to a few hours each day. He presented to the ED…
Four anterior STEMIs: acute and reperfused vs. won’t reperfuse, subacute and reperfused vs. not reperfused
These 4 recent cases illustrate acute and subacute MI with reperfusion and absence of reperfusion (or failed reperfusion). QS-waves and…
Wide complex tachycardia in a 36 year old
A 36 year old male presented with palpitations. He has had these many times for many years, episodes lasting 30-60 minutes, without…
What is the diagnosis? A nearly pathognomonic ECG.
A 50 year old woman complained of shortness of breath, but on closer questioning she seems to be weak. An ECG was recorded…