Huge Anterior Voltage, with ST Elevation
I saw “Chest pain” on the board and clicked to look at the ECG. Here it is: Much ST elevation in V2 (approx 5.5 mm at the…
The OMI Manifesto
The OMI Manifesto A collaboration by Dr. Smith’s ECG Blog and EMCrit Pendell Meyers, MD Scott Weingart, MD, FCCM Stephen Smith, MD The current…
I saw this ECG only after the patient was discharged….
I was reading ECGs on the computer system when this one came up: What do you think? There is apparent ST elevation in III, with reciprocal ST…
Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? 2 cases at once!
Two Cases Male Patient I was handed this ECG of a 40-something male patient. It was recorded at triage. The chief complaint was…
You have two hours to save this patient’s life
Written by Pendell Meyers, edits by Steve Smith A female in her 60s with history of CAD s/p PCI and CABG, alcohol abuse, and recurrent…
Hypotensive and Tachycardic in Clinic: A Quick Ticket to the ED and Lewis Leads
This was contributed by one of our fine interns, Aaron Robinson. A 40-something male cancer patient presented to clinic for a routine follow…
Are these Wellens’ waves?
This ECG was sent to me by one of my residents, who was puzzled by it: This ECG is from a 21 yo M with PMH of poly-substance abuse. He…
Syncope, History of Coronary Disease, and ST Elevation: Should Medics Activate the Cath Lab?
A 60-something male had a syncopal episode. 911 was called. The patient had no complaint of chest pain or shortness of…
A crashing patient with an abnormal ECG that you must recognize
Written by Pendell Meyers, with edits from Steve Smith Let’s consider this nearly pathognomonic ECG without the clinical context…
A patient with a “seizure” and a completely “normal” ECG
I happened on this ECG while walking by, and read it with no clinical information, remarked on it, and discussed it with the physicians caring…