Dynamic ST Depression in precordial leads. Does this transient STD signify subendocardial ischemia?
This case was written up by one of our fantastic 3rd year residents, Michael Fischer. Edits by Smith. A mid 60s male with past history…
Collapse, Ventricular Tachycardia, Cardioverted, Comatose on Arrival. OMI is a clinical diagnosis.
A middle-aged woman cried out, then collapsed. She had bystander CPR. First responders palpated a pulse. Paramedics found…
Chest pain and RBBB with right axis deviation, and downsloping ST Elevation. What is downsloping ST Elevation?
4916132 A 50-something male smoker with h/o Diabetes, but with no cardiac history presented by ambulance with acute chest…
Bradycardia with a Wide Complex. Sometimes 2 pathologies are present. Which?
An elderly woman was found to be bradycardic. She was awake with a BP of 120/70. Here is her prehospital ECG: What do you think? I…
What is this ST Depression? (Hint: there are 2 etiologies)
Don’t miss Ken Grauer’s comments at the bottom! An elderly woman is found down in her bedroom. On arrival, she was alert,…
Do these Serial Prehospital ECGs show OMI?
A 50-something male with a history of hypertension called 911 after sudden onset chest pain in the middle of his chest radiating up to his…
A Pathognomonic ECG. What is it? (Hint: 2 diagnoses in one)
I was reading through the list of EKGs and saw this one. What is it diagnostic of? (hint: 2 diagnoses in one) There is a very long,…
Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
A middle aged male presented after onset, approximately 50 minutes prior, of constant crushing 10/10 substernal chest pain, radiating into…
New Review: Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms
New Review, full text: Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms
Toothache, incidental Wide Complex Tachycardia
I was recently reading through the list of ECGs, and came across this one: What do you think? This was the interpretation I put into the…