Fascinating case of dynamic shark fin morphology — What is going on?
Case submitted by Magnus Nossen MD from Norway, written by Pendell Meyers. A man in his 50s with no pertinent medical history suffered a…
OMI-NOMI paradigm established as better than STEMI-NSTEMI with new article
Data: The OMI-NOMI paradigm has been established as better than STEMI-NSTEMI — as per new article by Emre Aslanger (with some help from…
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…
Adding to the many faces of Hypokalemia….
These 2 cases came in on one shift: See the U-waves that are most prominent in V2 (which is the usual lead) and in V3-V6. = = = I…
Is it VT or SVT with Aberrancy?
— Here is a classic ECG, presented and analyzed by Ken Grauer — = = = The 12-lead ECG in Figure-1 was obtained from a woman in her…
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…