Anaphylaxis, chest pain, and ST elevation in aVR
Sent by anonymous, written by Pendell Meyers A man in his late 40s presented to the ED with concern for allergic reaction after accidentally…
What is going on in V2 and V3, with a troponin I rising to 1826 ng/L at 4 hours?
I was reading EKGs on the system before a shift, and saw this one: What do you think? I was worried that the ST depression and T-wave…
Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?
Written by Jesse McLaren, with comments by Smith and Grauer. = = = Four patients presented with cardiorespiratory symptoms, with inferior ST…
A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate?
Case written and submitted by Brandon Fetterolf MD, edits by Meyers. = = = A woman in her early 30s with multiple autoimmune disorders…
What is a useful next step in the evaluation of this patient with Chest pain and this ECG?
Written by Pendell Meyers, submitted by Daryl Williams, edits by Steve Smith A man in his sixties with prior CAD and CABG experienced chest…
Syncope and ST Elevation on the Prehospital ECG
A 75 yo with h/o CAD, CABG, and HFrEF presented after a syncopal episode. There was no prodrome and no associated symptoms such as SOB…
A Different Kind of Wide Rhythm — Pleomorphic VT?
====================================== MY Comment, by KEN GRAUER, MD (6/1/2020 — Updated for WordPress on 2/1/2026 ): YOU are…
This middle-aged patient presented with SOB, weakness, and mild pulmonary edema.
= = = This middle-aged patient presented with SOB, weakness, and mild pulmonary edema. She previously had Atrial fibrillation with LBBB. Here…
A young woman with epigastric pain. ECG Crochetage sign? What is the significance?
A former resident texted me this ECG, done for epigastric pain in an 18 year old. The pain resolved immediately with treatment for acid…
Atrial fibrillation? Multifocal Atrial Tachycardia? Don’t look at computer read until AFTER you interpret!
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. Here is the ECG: What do you think? (Computer…