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…
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…
“Shark Fin”: A Deadly ECG Sign that you Must Know!
This case and discussion is written by Sam Ghali (@EM_RESUS), with a few edits by Smith Shark Fin has also been called: “Giant…