How do you explain these inferior hyperacute T-waves?
Alberto Pinsino, a cardiology fellow from Milan, Italy, sent this case: Dr. Smith, I would be interested in knowing your opinion about this…
Dyspnea, Right Bundle Branch block, and ST elevation
An elderly male called 911 for acute onset of shortness of breath and vomiting. EMS found him with a heart rate as high as 180 and…
Wide Complex Tachycardia with Fusion and Capture Beats. Not what you think.
This late middle-aged patient presented with acute hypoxic respiratory failure, with chest discomfort and apparent pulmonary edema, with a…
Acute Respiratory Distress, Hypoxia, and a Large Right Ventricle on Bedside Ultrasound
A 50-something presented in acute hypoxic respiratory failure, alert and in respiratory distress. She required Bilevel positive pressure…
Syncope During Exercise in a 12-Year Old
This was sent by a paramedic who wishes to remain anonymous. 911 was called because a 12 year-old female had a “seizure” at the…
My Very Smart Colleagues are Getting Very Good at Diagnosing Subtle Occlusion
My very smart colleagues are getting very good at this! A male in his 40’s with a significant history of coronary disease and stents…
ST Elevation: Inferior MI or Early Repol? Ultrasound Speckle Tracking Can Help.
Rob Reardon, our ultrasound director, showed me this ECG of a 50 yo with chest pain he had seen a few days prior: I said “Early…
60-something with Chest Pain, resolved upon arrival to the ED
A 60-something male called 911 for chest pain of less than one hour duration. He arrived in the ED pain free and had this ECG recorded:…
Abnormal ST-T in V1-V3. What is it? Many interesting and informative twists to this case.
A middle-aged woman with a history of CAD and stents, but also a history of several subsequent visits for non-cardiac chest pain, called 911…
Resuscitated from ventricular fibrillation: what is the ECG Diagnosis?
A reader (someone in training) sent me this ECG, and asked for my interpretation. Clinical info: “The patient was found down…