A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is!
This young woman presented with recurrent anxiety attacks with chest pain and dyspnea. She was otherwise healthy except for history of…
Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor (“PEA arrest”)
An elderly woman was witnessed to collapse. 911 was called and when EMS arrived, she was unresponsive with shallow respirations, a GCS…
Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat?
A 50-something male ran a 10 mile race, after which he complained of a headache. The next day, he collapsed and had a witnessed seizure.…
What are these bizarre bigeminal PVCs??
Case 1 This ECG was texted to me last week with the question: “What is this??” What do you think? My answer: “This is a…
Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4
An elderly woman had sudden SOB and 911 was called. Medics found her with labored breathing and 75% saturations. She was put on…
I thought the ECG diagnosis was obvious. But many missed it. So I’m showing it.
I was reading ECGs in the system and came across this one: What do you think? Computer diagnosis: –ST DEVIATION AND MARKED T-WAVE…
A New Seizure in a Healthy 20-something
A 20-something year old who is the picture of good health presented with a new onset seizure. A witness described what sounded like a 3…
Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion?
I was texted this ECG: What do you think? This was my response: “Yikes. Pacer and Cath Lab!!” He asked: “Could this all be…
Massive ST Elevation in a 38 year old with Syncope
This ECG was texted by a former resident with the words “38 year old, syncope while urinating. Negative troponin.” What do…
Narrow Complex Tachycardia at a Rate of 220
40-something yo who is on flecainide and diltiazem had sudden onset chest pain, palpitations, shortness of breath and diaphoresis:…