The Diagnosis of OMI does not depend on the ECG. But if you recognize it, that’s great.
An elderly woman presented with 4 days of waxing and waning epigastric/substernal chest pain, worse on the day she presented. She…
The cardiologist disagreed with cath lab activation. What do you think?
This was sent by a reader who is obviously a very astute clinician. A middle aged male presented after 4 days of intermittent chest pressure…
Lecture on Head Up CPR by the Expert: Johanna Moore
https://drive.google.com/file/d/17HKyT2l0_AmjvGlegXZA6u2x14LIJPER/view
Chest pain, ST Depression maximal in V2-V4, and a Blood Pressure of 238/118.
A Middle-aged male had sudden onset severe substernal chest pain that woke him from sleep. His BP was 238/118 on arrival. Here is his first ED…
Barcelona Rule on Left Bundle Branch Block: Lots of Issues.
By the time we read the paper on the Barcelona rule, it was too late to write a letter to the editor or a commentary. So we are posting it…
The resident made the diagnosis immediately. The faculty was not as certain.
This was sent by one of our G2 residents, working at a different hospital. “A 50-something male with a history of hyperlipidemia but no…
A Covid patient with cough and Fever. Why does the ST-T wave look so abnormal?
I was reading through a stack of ECGs and saw this one. What is going on here? At first glance, it looks like a low atrial rhythm,…
Extreme shock and cardiac arrest in COVID patient
This is a 30-something healthy patient presented with COVID pneumonia who presented to the ED. He was moderately hypoxic. He had…
This skill can be taught and learned
I was texted this ECG by a former resident, who just just graduated (there are 2 images of the same ECG, as they are not of high…
Deepening T-wave inversion one week after STEMI. Is it new Ischemia/infarction?
I (Smith) was asked to look at this ECG (ECG-4). What do you think? I said there is an inferior and lateral myocardial infarction,…