A Pathognomonic ECG. What is it?
This patient presented with weakness, decreased urine output, and vomiting: What is the ECG diagnosis? There is a very long QT (computer says…
IVCD, Saddleback STE in III, with reciprocal STD in aVL: Is it pseudoOMI or OMI? Echo with Speckle Tracking gives the answer.
A 77 y.o. woman with a history of hypertension and congestive heart failure presented for acute onset chest pain and shortness of breath. She…
A 50-something with chest pain presents to a Non-PCI capable facility
An avid reader sent me this case. He learned to read subtle ECGs here. Case: A 50-something presented with chest pain. A triage…
What is this rhythm? And what else does it show?
This was sent to me by my friend Sam Ghali (@EM_RESUS), https://twitter.com/EM_RESUS, with no information. Sam frequently just sends ECG…
A Patient with Respiratory Failure and a Computer “Normal” ECG
This ECG was presented in a conference. The patient had presented many times for SOB. On this occasion he was intubated for respiratory…
Chest pain resolved, and a “Normal” ED ECG
A previously healthy middle-aged male presented shortly after the acute onset of chest pain very shortly before calling 911. On arrival, he…
How accurate are the Monitor leads for ST Elevation?
This was a healthy young man who did not have a cardiac issue, but was on the monitor: Lead MCL1, which is mid-precordial, is the bottom…
Diffuse ST depression, and ST elevation in aVR. Left main, right?
This ECG was recorded on a middle-aged male with sickle cell disease and diffuse pain. Sinus rhythm Left ventricular hypertrophy (LVH) Diffuse…
A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB).
A patient arrived after PEA arrest, with ROSC after intubation and chest compressions. Here is the initial 12-lead ECG: What is the…
Computer often fails to diagnose atrial fibrillation in ventricular paced rhythm, and that can be catastrophic
Case 1. An elderly patient presented with a massive hemiplegic ischemic stroke of 24 hours duration. CT stroke series showed a middle…