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 man in his early sixties with palpitations
Case submitted and written by James Tavornwattana, edits by Pendell Meyers and Steve Smith. A male in his 60s with diabetes presented to the…
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…