Classic Evolution of Wellens’ T-waves over 26 hours
A middle-aged patient presented with resolved chest pain. t = 0, presentation to ED: Initial ECG of 50 yo woman who had prehospital chest…
Reperfusion through collaterals associated with nitroglycerin, lead reversal mimics T-wave inversion (and fooled me)
This 69 yo male with a history of HTN, but no h/o CAD, presented with chest pain at an outside hospital at 1700 hours with chest pain onset at…
Chest Pain, SOB, anterior T-wave inversion, positive troponin
This 38 yo male presented with chest pain with activity for 4 days, worse on the day of presentation, and associated with SOB. He has a…
New RBBB and subtle NSTEMI
This 49 year old male presented with chest pain. Initial ECG: sinus with QRS of 128 ms and RBBB, though not obvious. There is T-wave…
New LBBB and Massive ST elevation: Do not automatically jump to activate the cath lab!
This 50 year old male presented with some atypical chest pain and a blood pressure of 220/150. There is Left Bundle Branch Block with up to 6…
Syncope, Chest pain: subtle, dynamic ST elevation and hyperacute Ts with preceding ST depression
This 63 yo male with no cardiac history had 30 seconds of syncope. When he awoke, he complained of progressively worsening substernal…
Chest pain, resolved: don’t forget to look at the previous and the prehospital ECG
This is a 58 year old woman with a history of inferior MI. She has had a week of intermittent substernal chest heaviness associated with…
Two cases of the same electrolyte disturbance(s). Diagnosis?
This patient presented after dialysis with weakness and reproducible chest pain. Sinus rhythm with a normal QRS. The QT is prolonged and…
Weakness, prolonged PR interval, wide complex, ventricular tachycardia
This 58 year old patient with a PMH of CAD only (MI, 2 stents) presented awake with weakness and non-palpable pulses…
Anterior hyperacute T-waves: look at this upside down mirror image
One reader who trained in France learned that a good way to see the ST elevation better is to look at a mirror image of the ECG (upside…