Posterior ST Elevation MI in the Setting of Right Bundle Branch Block, with Posterior Leads V7-V9
This is a 68 year old man who had a resuscitated cardiac arrest. His prehospital ECG looks identical to this one which was recorded upon…
STEMI best seen in PVC
See this post for a wide complex that hides ischemic findings. See this post for a difficult diagnosis in the context of a wide complex. Case…
Probable Left Main coronary artery occlusion/obstruction, with STE in aVR, alternating BBB, and arrest
This 59 yo male had sudden chest and abdominal pain and dyspnea. He called 911. Paramedics found him in profound distress, stating “I…
Severe Right Ventricular Hypertrophy
This 23 year old presented to the Emergency Department with pharyngitis, but also complained of dyspnea on exertion. This ECG was recorded:…
Comment on Posterior STEMI
I had a very good question regarding the post on posterior STEMI, and I wanted to be sure that the answer gets attention: smallville…
Altered Mental Status, Tachycardia, Hypotension, Hyperglycemia, Ill appearing
This diabetic patient with the ECG below was brought in by medics confused, tachycardic, and hyperglycemic, Kussmauling. The computerized ECG…
Left Ventricular Hypertrophy May Result in Profound ST Elevation
This 75 year old man presented with weakness. His blood pressure was 220/80. He was found to have renal failure. He ruled out for MI. There…
Inferior Hyperacute T-waves
This is a 58 year old male with 40 minutes of chest pain of acute onset. He called 911 and paramedics recorded a prehospital 12 lead ECG which…
Persistent ST elevation after previous MI, otherwise known as “LV aneurysm” morphology
Case 1. Classic anterior LV aneurysm morphology (Persistent ST elevation after previous MI). This 46 yo male presented with chest pain. There…
The computer is often wrong
For more on computer misses, click here: This is the prehospital ECG of a 37 year old male with chest pain. It is obviously an acute STEMI,…