Intense burning chest pain in a 40-something woman
This was sent by a former resident. A 40-something previously healthy and “very fit” woman presented to a small hospital without…
Chest pain and Right Bundle Branch Block
A 62 yo male with h/o CAD and stent in 1st OM presented with Chest pain while biking. Vitals were normal. An ECG was recorded: What do you…
“Sepsis” with an ECG and Echo surprise
A woman in her 80s presented for hypotension. She had been feeling generally unwell for 3 days. Caregivers report that she has some mildly…
Fast, narrow, regular. What is it? More difficult: what to do??
A middle-aged man with h/o asthma presented with SOB, especially with exertion. He also has positional chest pain. This started a few weeks…
How do you interpret this ECG without the clinical context (which I don’t know)?
I came across this interesting ECG without clinical context: What do you think? Rhythm: This appears to me to be accelerated idioventricular…
Is this a wide complex rhythm? (And what is the etoliogy, after you hear the history)
What do you think? = = = = = = = = = = = = = = = This is NOT a wide complex tachycardia. This is atrial fibrillation with “Shark…
“Non-diagnostic” (even in retrospect) according to an entire conference full of ED docs and cardiologists.
Subtitle: It’s not the ECG which is “Non-diagnostic” — it is the physicians who are “Non-diagnostic!” This…
Elderly F w h/o MI has nausea and vertigo, with RBBB. And what is the data on thrombolytics for patients without ST Elevation?
An elderly woman with h/o diabetes and prior MI with a stent presented with acute nausea and vertigo to a very remote hospital where acute OMI…
ED patient with esophageal cancer and need for G-tube replacement
An elderly male presented to the ED with need for G-tube replacement. This was done, and an abdominal X-ray was done to confirm placement.…
Acute chest pain in a 50-something: resolves, recurs, resolves: Does the ED ECG show “Early Repol”?
My city of Minneapolis is being attacked and occupied by ICE right now and it is very frightening and anxiety provoking, especially for anyone…