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:…
Some ECG simply require pattern recognition, followed by a bit of investigation
Brooks Walsh @BrooksWalsh helped with this post One of my partners showed me this series of ECGs, without any info: I said:…
ST Depression Seen While scrolling through ECGs — What is it?
This is a good one for residents and students! I was reading ECGs on the system and saw this one. What do you think? When I subsequently…
Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man.
A 40-something male called 911 for 2 hours of crushing, non-radiating, chest pain at about 11 AM. He reported a similar episode…
A 60-something male presents with crushing chest pain
I was reading ECGs on the system and saw this one: What do you think? I recognized this immediately as a variant due to some combination…
Why do we liberally record ECGs? And what do you think the angiogram showed?
A 40 something complained of 1 week of constipation and eructation after a “bad batch of enchiladas.” He stated all of this…
How much ST depression in V2 and V3 is acceptable before you suspect ischemia?
A 60-something woman with h/o bioprosthetic MV replacement and COPD, who is not on anticoagulants (bioprosthetic valves generally do not…
Pancreatitis with Bizarre T-wave inversions and a normal echo. Is it takotsubo?
I was shown this ECG and told that the patient is suffering from another bout of chronic pancreatitis. I was told there was no chest…
See many morphologies of non-ischemic ECGs from the same patient
I was reading ECGs on the system when I saw this one (ECG-1): What do you think? My read was “ST Elevation that is NOT…
Which Modified Sgarbossa Rule does this meet? And what is the Rhythm?
A reader sent this ECG and asked “Steve, can this be hyperK?” He sent no clinical information. What do you think? My answer:…