Unusual ST Elevation in V1 and V2, and LVH, in a Patient with Chest Pain
This ECG was texted to me: Computerized QRS is 114 ms What do you think? There is an rSR’ in V1 and a qR in V2, suggesting incomplete…
Is it important to recognize LVH Pseudo-infarction patterns?
A middle-aged male called 911 for sudden severe chest pain. The medics were very worried about acute MI and recorded a prehospital ECG.…
A 40-something woman with chest pain. A medic takes control of the situation.
A 40-something woman with Chest Pain of 20 minutes duration called 911. It started while at rest and she describes it as crushing pain…
A 60-something with Syncope, LVH, and convex ST Elevation
Note 2 other similar cases at the bottom that come from my book, The ECG in Acute MI. Case While I was busy seeing patients, a resident…
A 16 year old girl with altered mental status and possible overdose
A 16 year old girl presented with altered mental status, probably due to alcohol intoxication, but also with possible overdose. As part of her…
ST Elevation and QS-waves in a patient with Dyspnea
I was shown this ECG of a patient with dyspnea: My interpretation: “Subacute STEMI” In other words, STEMI of at least 6 hours…
What is the culprit artery? Not what you think.
An elderly woman who was quite healthy except for some chronic renal insufficiency and hypertension had 3 days of classic angina lasting only…
Ten cases of hyperacute T-waves in V4-V6
Here are 10 cases with hyperacute T-waves in V4-V6. Each case is interesting and you can click on the link to read the entire case. 1. Chest…
8 year-old with report of “syncope and an abnormal ECG”.
This case was contributed by John Dunbar, an outstanding Hennepin EM Resident. A previously healthy, fully immunized 8 year-old African…
Wide complex tachycardia and an ICD that is not firing
A 40-something woman with a history of MI and ischemic cardiomyopathy and previous VT, with an implanted cardioverter-debrbrillateror (ICD)…