A 50-something year old with typical chest pain
A middle age male presented with chest pain. Here is his ECG; there was no previous for comparison: QTc is 380 ms. There is 3 mm of STE…
One Hour Lecture: Supraventricular Tachycardias (including ED management of atrial fibrillation)
This is a lecture on ED diagnosis and management of supraventricular tachycardias: Sinus Tach Paroxysmal SVT Atrial Fibrillation Atrial…
Inferior ST Elevation. BP 250/140.
This 50-something patient with no previous CAD complained of havinng had chest pressure the day prior, but stated she was asymptomatic at the…
9 Hours of Chest Pain and Deep Q-waves: Is it too late for Thrombolytics? (Time Window for Reperfusion; Acuteness on the ECG)
A 50 year old hypertensive presented with 9 hours of central crushing chest pain. BP was 250/120, and after placement on an IV nitroglycerine…
Left Bundle with Convex ST Segment: Where is the J-point?
On July 26, I posted a similar problem, but in that case, the huge ST elevation was proportional. Here is another case in which it may…
A Very Fast Regular Narrow Complex, Followed by an Equally Fast Regular Wide Complex
This case was sent to me by for analysis by Scott Flannagan in Australia. I am by no means a rhythm master like Dr. K. Wang, but I think…
Does this single lead show a wide complex tachycardia?
A woman in her 50’s had a v fib arrest and required defibrillation 10 times before resuscitation to an organized rhythm. Here was the…
Middle Aged Male with Burning Chest Pain — Assess the Entire Clinical Scenario
A middle-aged male presented with “burning” mid chest pain, with radiation to bilateral shoulders (pain radiating to both shoulder is…
A Very Wide Complex Tachycardia. What is the Rhythm? Use Lewis Leads!!
A patient with a history of severely reduced left ventricular function, renal insufficiency and atrial fibrillation presented with slight…
Poor Microvascular Reperfusion (“No Reflow”): Best Diagnosed by ECG
A previously healthy woman about 50 years old with no previous medical history or coronary risk factors presented 30 minutes after the sudden…