ST Elevation in aVL with reciprocal ST Depression in inferior leads and DIffuse ST depression
An elderly male had volume depletion and anemia, and complained of chest pain. We recorded this ECG: Q-waves and ST Elevation in I and aVL ST…
Syncope and Prehospital Cath Lab activation — What do you think?
A 61 y.o. male with a history of HTN and ETOH developed squeezing epigastric abdominal pain with associated vomiting and diaphoresis, followed…
Test yourself: Which of the following 6 ECGs of patients with chest pain represent inferior OMI?
Which of the following 6 ECGs of patients with chest pain represent inferior OMI? The answer could be 1 or more than 1. 1. 2. 3. 4.…
H/o MI and stents with brief angina has this ED ECG. And what is Fractional Flow Reserve?
A middle-aged man complained of 15 minutes of classic angina that resolved upon arrival to the ED. Here is his initial ECG: What do you think?…
A 20-something woman with Chest Pain
A 20-something woman presented with 30 minutes of sudden onset chest pressure that started while in the bathroom. She had no relief from nitro…
Ventricular Fibrillation, ROSC after perfusion restored by ECMO, then ECG. Protocols can be overridden by Physician Judgment.
A middle-aged male had sudden chest pain and called 911. First responders arrived. Then the patient arrested. Chest…
This middle-aged patient presented with SOB, weakness, and mild pulmonary edema.
= = = This middle-aged patient presented with SOB, weakness, and mild pulmonary edema. She previously had Atrial fibrillation with LBBB. Here…
What is the infarct artery????? And have you ever seen a troponin this high?
An elderly woman with h/o stroke and aphasia seemed different to her daughter, and was pointing all over her body as if in pain. They called…
Viral symptoms, then acute chest pain and this ECG. What do you do?
A late 30’s male presented with fever, sore throat, headache, vomiting, and body aches (“bones hurting”) for 2 days. He…
A young woman with epigastric pain. ECG Crochetage sign? What is the significance?
A former resident texted me this ECG, done for epigastric pain in an 18 year old. The pain resolved immediately with treatment for acid…