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. And can you be lucky to have a cardiac arrest?
Written by Pendell Meyers, edits by Steve Smith. A man in his 60s with history of hypertension and MI 10 years ago (with PCI at that time) —…
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…
“Are these hyperacute T-waves?” – what is your recommendation for the team in these two cases?
Written by Pendell Meyers, edits by Steve Smith When practitioners are learning a new ECG concept for the first time, they very appropriately…
Prehospital OMI recognized immediately by a fantastic paramedic
Written by Pendell Meyers, edits by Steve Smith This case was sent by a paramedic who wishes to remain anonymous. “The enclosed case…
Could you have prevented this young man’s cardiac arrest?
Written by Pendell Meyers We received a call from an outside hospital asking to transfer a “traumatic post arrest” patient. We…