Cold symptoms and bradycardia. What is this pre-excitation?
A young man presented to the ED for cough and runny nose and was bradycardic, so an ECG was recorded: There is sinus rhythm with complete AV…
A Young Woman with Chest Pressure and Subtle, Focal ST Elevation/Depression
A very healthy woman in her 20’s (who, however, is a heavy smoker) presented with 4 days of waxing and waning substernal chest pressure…
What happened after the PCI?
A middle-aged male with h/o CABG x 3, previous stents, and aortic valve and aortic root replacement presented primarily with headache, but…
SMACC-Chicago Program is Online!! Don’t miss this conference!
Social Media and Critical Care, Chicago: SMACC-Chicago. You’ve all heard about SMACC 2013 and SMACC Gold, the best EM and Critical Care…
18 hours of intermittent chest pressure
A male in his 60’s with no previous cardiac history complained of substernal chest pain intermittently for 18 hours. It has more…
EP Report back on this case: a very fast narrow complex rhythm followed by a very fast wide complex
This was a very interesting case: A Very Fast Regular Narrow Complex, Followed by an Equally Fast Regular Wide Complex It had a very fast…
A Hybrid of de Winter’s T-waves and Diffuse Subendocardial Ischemia: Left Main Ischemia
A very elderly woman who was highly functional complained of jaw pain and called 911. Her BP was 80/40 with a puls of 45. Here is…
Smith SMACC-Gold Lecture in on the Intensive Care Network: Subtle ischemia, or NonSTEMI that need the Cath Lab Now
This is the 30 minute lecture I gave at Social Media and Critical Care (SMACC) on the Gold Coast of Australia in March. It is called…
Chest Pain and a Very Abnormal ECG
A male in his 60’s with no history of coronary disease presented with chest pain. Here is his ED ECG: He had several previous ECGs…
Some Cardiologists still are not familiar with Sgarbossa Criteria…..
This case shows how you have to advocate for your patient. You have to be the expert. I talk to a lot of emergency physicians who have…