Syncope and Atrial fibrillation in a Healthy 70-something Male
An otherwise healthy 70-something was sitting talking with other when he had brief sudden witnessed syncope for 20 seconds. He awoke…
Chest pressure during exertion, evolution of inverted T-waves and Troponins. Surprise Angiogram.
I was texted this ED ECG with the words: “40-something with chest pressure during exertion.” It is unclear whether the pain…
If you had recorded an ECG during chest pain, what would it have shown?
Case A 40-something male presented to triage. He had suffered a couple bouts of typical chest pain in the last 24 hours. …
Palpitations and Chest Tightness: Should You Activate the Cath Lab (or Give Thrombolytics)?
This case was sent by Jessica Carmichael, and Emergency Physician on active duty at Irwin Army Community Hospital in Fort Riley,…
Insulin Overdose: Does this ECG help to Guide your Management?
This patient with diabetes, but no other health problem, presented after a large insulin overdose. What finding fits with insulin overdose?…
You Diagnose Pericarditis at your Peril (at the Patient’s Peril!)
The source of this case is anonymous. A 40 something woman with a history of hyperlipidemia and additional risk factors including a smoking…
A Wide Complex Rhythm in an Intoxicated Patient
This patient presented with altered mental status and was thought to be intoxicated. He did not have any other apparent medical issues.…
Chest Pain and Inferior ST Elevation.
A middle-aged patient with lung cancer had presented to clinic complaining of generalized malaise, cough, and chest pain. He had an ECG in…
“Shark Fin”: A Deadly ECG Sign that you Must Know!
This case and discussion is written by Sam Ghali (@EM_RESUS), with a few edits by Smith Shark Fin has also been called: “Giant…
Patient with Paced Rhythm in Severe Cardiomyopathy Presents with SOB due to Acute Decompensated Heart Failure
This is a middle-aged male with h/o with a history of heart failure with severely reduced ejection fraction due to dilated ischemic…