What is the treatment for this subendocardial ischemia?
This elderly patient had an accidental carbon monoxide poisoning. The patient did not have ischemic symptoms, but we do an ECG routinely…
STE in aVR and diffuse ST depression: It can be ACS or demand ischemia. If ACS, either posterior STEMI or subendocardial ischemia!
A middle-aged male with a history of 2-vessel coronary bypass called 911 because of the relatively sudden onset of severe SOB. He had…
Slightly Peaked T-waves, What is it?
I saw this as I was reading a large a stack of ECGs: What do you think? There is sinus tachycardia. The T-waves are slightly peaked,…
Is this Coronary Occlusion? Cath lab?
This patient presented with cardiac arrest: There is RBBB and ischemic ST elevation in V1-V3. There is ST elevation in aVL and ST…
New Paper published on Significance of Reciprocal ST depression in lead aVL
We just published this online in the American Journal of Emergency Medicine: ST depression in lead aVL differentiates inferior ST-elevation…
Paramedics make a great call
A middle-aged male called 911 for chest pain. Here was the first prehospital ECG with pain at 5/10: Computerized QTc is 418 ms. There is…
A 40-something with Chest Pain
A 40 something presented with chest pain. Here is the ECG: QTc 415 ms. What is it? The QRS is normal size and…
Is this STEMI? Pattern Recognition is Key
This was sent to me, asking what I thought of it: A very elderly woman presented with weakness and diarrhea. There was no chest pain or…
This ECG is pathognomonic and you must recognize it.
This patient was found with a bottle of alcohol and altered mental status. His breath alcohol was 0.259. Due to bradycardia, a…
Anterorlateral STEMI? Old Anterior MI? But cath shows RCA thrombotic stenosis.
This case is from a frequent contributor, Brooks Walsh. With additions and edits by me. A 68 year-old man had been having chest…