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…
A 50-something with left shoulder pain and diffuse ST elevation
A 50-something presented with left shoulder pain. He had an ECG recorded: What do you think? = = = There is a huge amount of ST Elevation, but…
What is this Regular SVT?
====================================== MY Comment, by KEN GRAUER, MD (11/12/2019 — Updated on 10/29/2025): My appreciation to…
What is the differential of this very unusual ECG?
Take a look at this ECG first without clinical context: = = = What do you think? = = = = = = There is sinus bradycardia with very unusual…
Elderly with Paced Rhythm, Possible Ischemic symptoms, and an Equivocal Smith Modified Sgarbossa ECG
An 80 year old presented with a couple days of SOB, weakness, and diaphoresis. There was no chest pain. Here was her initial ECG: — What…
A 50-something with chest pain presents to a Non-PCI capable facility
An avid reader sent me this case. He learned to read subtle ECGs here. Case: A 50-something presented with chest pain. A triage…