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…
10 Cases of Inferior Hyperacute T-waves
In the last post, I showed: Ten (10) Examples of Hyperacute T-waves in Lead V2 (a few in V3), due to acute LAD occlusion Today, 10…