“Long QT” after droperidol
A patient presented to the ED with intractable hiccups. He also had “ongoing GERD symptoms with heartburn……but no…
Bizarre T-wave inversions, with Negative U-waves and Very long QT. And a myocardial viability study.
This 60-something year old male was admitted and his hospital course complicated by GI bleed, hemodynamic instability, and a nadir hemoglobin…
What does this ECG with significant ST Elevation represent?
These 2 serial ECGs were texted to me recently. They were recorded 12 minutes apart: “Hey Steve, 30-something with one week of…
A Text Message in the Middle of the night. Do you give thrombolytics?
I awoke in the morning and discovered a text with this ECG that was sent 6 hours prior by a former resident: “60 year old with classic…
Acute MI, pain onset 24-48 hours ago. Should the patient go for emergent angiogram/PCI?
Case 1. A 60-something man with HTN, DM, and hyperlipidemia presented stating he had chest pain starting 48 hours prior to arrival. It was…
Two patients with RBBB
Case 1. A 60-something woman presented with dyspnea. She had a history of chronic respiratory disease and hypoxia, but hypoxia was no…
Inferior Subtle ST elevation: straight ST segment, but also no reciprocal ST depression in aVL: which is more important?
60-something with h/o MI and stents presented with chest pain radiating to the back and nausea/vomiting. Time zero What do you think? There is…
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria
A 60-something called 911 for chest pain. Medics recorded an ECG at time zero: What to you think? There is no ST elevation, but V2 has a…
2 ECGs texted to me. Minimal STE in inferior leads. How important is it?
These 2 ECGs were texted to me with the words “I think acute MI, but cardiology does not.” I believed these to be 2 serial ECGs:…
Do you recognize these ECGs? STEMI? LVH? What?
What do you think of these ECGs? I came across the first one reading it blind for a study. I was certain I knew the diagnosis, and went…