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…
Is it Wellens’ Syndrome?
A middle-aged African American man with history of tobacco use, HTN, and chronic renal disease, but no known coronary disease, presented with…
A Mystery Rhythm, Explained by K. Wang’s Ladder Diagram.
This was presented at the SMACC-Gold EKG workshop: Can you figure it out? See the answer below. Here is a nice ladder diagram and explanation…
Diffuse ST Elevation. What do you think?
What do you think of this ECG, without any clinical information? There is inferior and lateral ST elevation and ST depression in V1 and V2,…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
Two (apparent wide complex) Rhythms in One Patient: First is at rate of 300, second at Rate of 180
A middle-aged patient with no known significant past medical history had sudden onset of palpitations, diaphoresis, dyspnea. This lasted…
Two (apparent wide complex) Rhythms in One Patient: First is at rate of 300, second at Rate of 180
A middle-aged patient with no known significant past medical history had sudden onset of palpitations, diaphoresis, dyspnea. This lasted…
Massive Excessively Discordant Anterior ST Elevation in a Paced Rhythm
This patient has a standard DDD pacer, with RV pacing (not biventricular pacing), severe chronic nonischemic cardiomyopathy with EF of 10%…
Intravenous Nitroglycerine in STEMI, with data: Avoid its use if giving tPA
If you are giving tPA to patients with STEMI, it is wise to avoid IV nitroglycerine. I am revisiting this topic because of a recent case…