A crashing patient with an abnormal ECG that you must recognize
Written by Pendell Meyers, with edits from Steve Smith Let’s consider this nearly pathognomonic ECG without the clinical context…
To activate or not to activate?
Written by Pendell Meyers, with edits by Steve Smith I was texted this ECG with no clinical information: (This will be called ECG-2) What do…
Shoulder pain after lifting a heavy box
Written by Pendell Meyers, edits by Steve Smith This will be too easy for most long-time readers, but if you are at that level, sit back and…
A female in her 60s who was lucky to get expert ECG interpretation
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the critical care section of the ED…
This ECG was shown to the doctor with no clinical information
Written by Pendell Meyers, with edits from Steve Smith I was charting at my computer on a busy overnight shift when a triage ECG was placed…
Our patients deserve better than the “STEMI criteria”
Written by Pendell Meyers, of the Stony Brook class of 2019, with edits by Steve Smith Two Cases Imagine that two patients present…
ST elevation in aVL with reciprocal ST depression in the inferior leads
Written by Pendell Meyers A male in his 50s with history of thyroid cancer was brought to the Emergency Department after being found minimally…
See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm
Written by Meyers, edits by Smith: A female in her 60s presented complaining of 2-3 days of fatigue and shortness of breath. She called EMS…
What is the cause of this patient’s inferior ST depressions?
Written by Pendell Meyers, edits by Steve Smith A nurse brought this ECG to me, stating that she had recorded it because she was just notified…
What is lurking underneath this new right bundle branch block?
Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and…