Chest pain and Concordant ST Depression in a patient with aortic valve and previously normal angiogram
60-something presents with acute onset of chest pain. His pain was accompanied by shortness of breath. It awoke him from sleep.…
30 yo woman with chest pain and a “normal ECG” by the computer, this one prehospital
This was sent by paramedics in the Northwest Ambulance Service in the UK. James Alameddine credits his partner, Gary Wilson. Case A 30…
Just a few cases that the computer called “normal”
This article has been discussed on Twitter today. It purports to show that you don’t need to read the ECG if the computer says…
A 50-something with chest pain and minimal precordial ST elevation
A 50-something with diabetes presented with 3 hours of sharp chest pain radiating to the left hand, with dyspnea and diaphoresis; it was…
15 hours of chest pain. Too late for thrombolytics, right? Unstable Angina still exists.
The time window for therapy with thrombolytics is up to 12 hours after the onset of chest pain, based on many studies done in the thrombolytic…
A fast narrow complex rhythm.
A 50-something called 911 for palpitations. He was tachycardic and diaphoretic. POCUS cardiac ultrasound was hyperdynamic. Medics…
What happens when you give adenosine to a patient with this rhythm?
A 40-something presented with palpitations and had a regular pulse at 170. Here is his 12-lead ECG: The computer reads supraventricular…
Sudden weakness with bradycardia and bizarre T-waves
An 60-something man complained of sudden weakness. There was no chest pain or SOB. He had normal blood pressure and perfusion and…
Beware Automated Interpretations of Atrial Fibrillation!
See this ECG: There is an irregularly irregular rhythm. The Automated interpretation was “Atrial Fibrillation.” What is it? Look…
Controversies and Consensus in EM. Sept 20-22 Northampton Mass. I’ll be giving 4 hours of presentations on ECGs.
Controversies and Consensus in EM. Sept 20-22 Northampton Mass. I’ll be giving 4 hours of presentations on ECGs. Should be…