Altered Mental Status, Bradycardia
911 was called for an elderly woman who fell and was confused. Medics found her unresponsive, with “convulsive”…
Is there Wellens’ syndrome in left bundle branch block? Or in inferior and lateral leads?
Written by Pendell Meyers, with edits by Steve Smith A male in his 80s old had acute onset of chest pain. Here is his first ECG, time…
New paper by Smith: New Insights Into Use of the 12-Lead ECG for Diagnosing Acute MI in the Emergency Department
We just published this paper in the Canadian Journal of Cardiology. The February 2018 issue is on “Advances and Controversies in…
Syncope and Prehospital Cath Lab Activation for Posterior STEMI
A middle-aged man had syncope. This ECG was recorded prehospital; here are the limb leads: What do you think? Notice that there are inverted…
ST Elevation after Stab Wound to the Heart
A young man presented after a stab wound to the chest. Rapid ED diagnosis of cardiac penetrating trauma was made by ED ultrasound, and…
Chest pain and a non-diagnostic ECG. No worries, right?
A middle-aged male complained of chest pain and called 911. 3 prehospital ECGs were recorded. Here is the time zero ECG: Just some…
Bizarre (Hyperacute??) T-waves
Thanks to one our great HCMC nurses, Ryan Burch. He figured this one out. A dialysis patient presented with dyspnea. He was a bit…
Is this ECG diagnostic of coronary occlusion? Also: Inferior de Winter’s T-waves on prehospital ECG??
This post was written by one of our fantastic Hennepin County Medical Center Emergency Medicine interns who is an ECG whiz, Daniel Lee. A man…
A 40-something male with epigastric pain
A 40-something male presented with epigastric pain. An ECG was recorded immediately (time zero): This was texted to me asking for my opinion.…
Chest pain, sinus tachycardia, and ST Elevation
I was reading through ECGs on the system when I saw this one: Sinus tachycardia, rate 120 Computerized QTc = 380 ms What do you think? I…