A young man with back spasms
Written by Pendell Meyers with edits by Steve Smith First see this ECG without clinical context: What do you see? Do you agree with the…
An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR
Written by Pendell Meyers 84 yo M with history of a “valve problem” presented for sudden onset chest pain and trouble breathing while eating…
A man in his 80s with chest pain
Written by Pendell Meyers A male in his 80s with history of colon cancer, HTN, and CAD with a newly placed LAD stent approximately 1 month…
A “normal ECG” on a busy night
Written by Pendell Meyers We walked in to an overnight shift with approximately 70 patients in the waiting room and a room full of sign-outs…
A 60 year old patient with large T-wave inversions
Written by Andrus Alian and Pendell Meyers, with edits by Steve Smith A female in her 60s with history of stage IV lung cancer presented to…
See what happens when hyperacute T-waves are missed
Written by Pendell Meyers, edits by Steve Smith A man in his 60s with history of hypertension and MI 10 years ago, with PCI, presented to an…
Idiopathic Ventricular Tachycardias for the EM Physician
Written by Pendell Meyers, reviewed by Steve Smith and Scott Weingart “Idiopathic ventricular tachycardias” refer to a group of…
Posterolateral OMI resulting in VT, then R-on-T phenomenon and VF
Submitted by Arjun Iyer, Written by Pendell Meyers A male in his 50s with no known medical history presented for chest pain and shortness of…
A Tale of 2 Occlusions in the Same Patient: one with Expert ECG interpretation, the Other Without
Submitted by Nic Thompson, Written by Pendell Meyers, edits by Steve Smith This is a long post, but well worth the read because it clearly…
Total eclipse of the heart
Written by Pendell Meyers A male in his late 50s had sudden chest pain radiating to the left side and back, with nausea and diaphoresis as…