STEMI positive by conventional algorithm in a high risk post operative patient.
A man in his late 60s was convalescing in the hospital following bilateral lung transplantation for pulmonary fibrosis. Medical history is…
What does this ECG recorded 4 days prior (in clinic) tell us about the ECGs in the ED?
Submitted by Evan (Kuan-Yu) Lin, edits by Willy Frick This ECG had been recorded in cardiology clinic: What do you think? Here is the case: An…
Narrow complex tachycardia, with interesting laddergram
A woman in her late 70s presented with nausea, vomiting, and diarrhea. Her emergency department ECG is shown below: ECG 1 What do you think?…
Rapid SVT, diagnosis?
A 53 year old man with paroxysmal atrial fibrillation and multiple myeloma called EMS with chest discomfort and palpitations. When paramedics…
Found down, CPR, pulse regained. Here is the ED ECG. What is it?
A man in his 60s was found down in the park. Bystanders initiated CPR, but when EMS arrived he had a pulse and it was not clear that he had…
A subtle ECG and a subtle angiogram
Written by Willy Frick A man in his early 40s with no past medical history experienced acute onset crushing chest pain and dyspnea. The chest…
Anteroseptal OMI? Accurate ECG interpretation is essential to correctly interpreting the angiogram.
Written by Willy Frick A man in his early 40s with prior anterior OMI s/p bare metal stent to LAD in 2014 presented with acute chest pain,…
Interns are not (yet) poisoned by the STEMI/NSTEMI paradigm
This case was written up by Kuan-Yu (Evan) Lin with some edits by Willy Frick. I (Willy) had the pleasure of working with Evan when he was a…
If you saw this EKG completely isolated from clinical context, how would you interpret it?
Written by Willy Frick This blog has repeatedly made the point that ECGs must always be interpreted in clinical context. But…
What happens when a clinic does not have troponin testing for chest pain patients? Stress testing?
Written by Willy Frick — Commentary added below on 6/4/2025 by Ken Grauer regarding ETT A 90 year old man with history of hypertension,…