Wide complex tachycardias: 2 cases. What is the diagnosis and management?
This is the most widely misunderstood problem in Emergency tachydysrhythmia care. There are many textbooks and articles and preparatory…
Stuttering thrombus in the LAD, dynamic hyperacute T-waves, Q-waves, full resolution at 3 months
A 70 y.o. woman who presented with L arm pain that started at 6:45 in the morning when she woke up. Pain was also in the upper…
Wellens’ missed. Then returns with Wellens’ with dynamic T-wave inversion
This 53 year old woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…
Apparent ST depression in lead III. Is it MI?
A few days ago, I posted this ECG with “inferior” ST depression that was reciprocal to high lateral MI due to a 2nd diagonal…
Coved ST elevation with reciprocal ST depression: what is the diagnosis?
This 82 year old presents with atypical chest pain: There is slow atrial fibrillation and a slightly wide QRS (109 ms), with high voltage in…
“Inferior” ST depression: What is the diagnosis?
This 58 year old man presented at noon with chest pain that began the previous evening and became constant less than one hour prior. Now…
ST segment depression: what is the etiology?
This 86 year old woman had syncope. There is no chest pain or SOB. She is uncertain of her past medical history. There is atrial…
Why is this patient weak?
35 year old presents with diffuse weakness. Answer is below: There are very large U-waves best seen in precordial leads V2-V5. …
Dyspnea, resp failure, DNR/DNI, what to do?
79 yo patient with no known previous history of MI and a history of severe dementia presented with acute dyspnea, pulmonary edema, BP 110/70…
Cath lab activated. What do you think? (#2)
This 45 year old male called 911 for increasing SOB and CP over 2 weeks. His BP was 220/150. The medics did a prehospital ECG,…