Wide Complex Tachycardia and Cyanosis
This case was sent by a former HCMC resident: A 20-something non-English speaking woman with a history of some sort of congenital heart defect…
LVH with secondary ST depression??
This was sent by Michael Macias (Twitter: @EMedCurious), a 4th year EM resident at Northwestern in Chicago. Case: An elderly man with end…
Why does this young male with chest pain have a tall R in V1, and lateral Q waves?
This is another post written by Brooks Walsh, with some editing by Smith. Ken Grauer, who is truly an ECG guru, also had a hand in the…
Only the ECG Diagnoses Acute Coronary Occlusion. Do not be Fooled by a Negative High Sensitivity Troponin.
This case was sent by Peter Hammarlund, 2nd year Internal Medicine/Cardiology resident (and self-proclaimed ECG nerd) at Helsingborg…
Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. At midnight.
A middle aged male presented at midnight after 14 hours of constant, severe substernal chest pain, radiating to his throat and to bilateral…
Acute Chest Pain: Computer reads “Nonspecific ST-T abnormalities”
A male in his 60’s had a history of previously stented infero-posterior-lateral STEMI due to an occluded dominant circumflex, which had…
Syncope Several Times, Complete Heart Block, And a Surprise ECG in the ED!
This was sent by one of our graduates who will remain anonymous. A 55 year old male with a history of DM and HTN had 2 syncopal episodes, then…
Right Precordial T-wave Inversion
This was posted on Facebook EKG club by Massimo Bolognesi, from Italy. He is a highly respected Sports Medicine Cardiologist.…
ST Elevation in aVL. Reciprocal ST depression in III. Is it MI?
I was reading this ECG in the queue, with no clinical info. What do you think? My interpretation was LVH, no evidence of MI. There…
A Young Man with Recurrent Chest Pain and Dyspnea with Exertion
Case This is a young man who has had chest pain and dyspnea with exertion for years. He presented to the ED with these symptoms again.…