Chest pain, tachycardia, diffuse ST elevation. What is the diagnosis?
First, I want you to see the ECG without a lot of clinical information: this 45 year old male presented with left chest pain: What…
Missed Acute MI, with coronary occlusion, evidence only by T-wave inversion in V2 and evolving ST depression in V3
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
What is the rhythm? Answer at the bottom.
An elderly woman presented with abdominal pain. Here is her ECG: This is easily mistaken for atrial flutter because the waves have a…
This is a quiz. The ECG is pathognomonic. Answer is at the bottom.
Hyperkalemia, with near sinusoidal pattern. Note very wide QRS, bizarre deep T-waves in V1 and V2, peaked T-waves in V4 and V5, long PR…
Reversible T-wave inversion — it reverses, then evolves, then reverses when ischemia is gone. Normalization of T-waves, NOT pseudonormalization.
A 62 yo male has had chest pain with exertion for 2 weeks. He began having chest pain at rest at 2AM, and presented at 7 AM. Here is his…
Pseudonormalization of Inferior T-waves
In a few days I will post a twist on pseudonormalization, but wanted to first post this classic case. This 49 year old male presented after an…
Bizarre T-wave inversion of Stokes Adams attack (syncope and complete AV block), with alternating RBBB and LBBB
This is a 68 yo male with a history of aortic stenosis, on carvedilol, fell from a ladder approx 20 ft onto concrete, landing face down with…
Altered Mental Status, possible ingestion. What does the ECG show?
A middle aged man was heard to be falling in his apartment. He was found very agitated, intermittently screaming (and on presentation…
Atrial Fibrillation with RVR and Inferoposterior ST elevation (Injury Pattern)
This is an old post from June 2009 that has not received much attention, but should. Take a look! This 80 yo woman had been increasingly…
Young man with syncope while riding a bike [Arrhythmogenic Right Ventricular Dysplasia (ARVD)]
This 31 yo who is otherwise healthy had sudden syncope while riding a bike. He remembers looking down, then becoming dizzy,…