Anterior ST Elevation and a High Initial Troponin.
I was shown this ECG with the history that the patient had chest pain: What do you think? This is what I said: “This is not anterior…
Pre-existing Left Bundle Branch Block and Atrial Fib: what is alarming on this routine pre-procedure ECG?
An elderly patient had a pre-procedure ECG (ECG-1). She was asymptomatic. The patient had known Left Bundle Branch Block (LBBB)…
Anterior STEMI Evolves to de Winter’s T-waves
A middle-aged man called EMS for chest pain. This prehospital ECG was recorded: Obvious Anterior STEMI due to proximal LAD occlusion (with STE…
Inferolateral STEMI: is there right ventricular MI also?
A middle-aged patient called 911 for 1 hour of chest pain. He was hemodynamically stable. Here is the prehospital ECG: Obvious inferior MI,…
The Interventionalist Refuses Angiography, and even to speak to the Emergency Physician
A recent residency graduate, let’s call her “The Graduate” or “TG,” texted me these ECGs from somewhere far away…
One of the Great Books of Emergency Medicine Just Published: Extraordinary Cases in Emergency Medicine
Doug Brunette is one of the finest Emergency Physicians, if not the finest, whom I have ever known. He was one of the early Hennepin…
I saw this computer “normal” ECG in a stack of ECGs I was reading
While I had a few moments, I was reading a series of consecutive ECGs recorded in the ED. I came across this one: The computer read was:…
What is the diagnosis?
I was reading a stack of ECGs when I came across this one: What do you think? I immediately saw that this ECG is DIAGNOSTIC of…
15 yo AAM with ST Elevation and T-wave Inversion. Hypertrophic Cardiomyopathy or Normal (“Variant”)?
Is this normal or hypertrophic cardiomyopathy (HOCM)? The mother of a 15 yo African American male brought her son to the clinic for a sports…
Profound ST Elevation in V1-V3. What do you think?
This ECG comes from Pierre Taboulet (http://www.e-cardiogram.com/)(https://www.facebook.com/ECG.taboulet) an ECG whiz who codes a lot of ECGs…