Sudden weakness with bradycardia and bizarre T-waves
An 60-something man complained of sudden weakness. There was no chest pain or SOB. He had normal blood pressure and perfusion and…
Beware Automated Interpretations of Atrial Fibrillation!
See this ECG: There is an irregularly irregular rhythm. The Automated interpretation was “Atrial Fibrillation.” What is it? Look…
Controversies and Consensus in EM. Sept 20-22 Northampton Mass. I’ll be giving 4 hours of presentations on ECGs.
Controversies and Consensus in EM. Sept 20-22 Northampton Mass. I’ll be giving 4 hours of presentations on ECGs. Should be…
A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS
This is a 50-something with no previous medical history who presented to triage at time zero after 3 hours of substernal chest pain associated…
Right precordial ST depression in a patient with chest pain
This case comes from Sam Ghali (@EM_RESUS). Thanks, Sam! A 70-year-old man calls 911 after experiencing sudden, severe chest…
ST Elevation in I and aVL: do prehospital cath lab activation on these cases?
Case 1. A 50-something year old man with 2 cardiac risk factors had a syncopal episode associated with diaphoresis. There was no chest…
Chest Pain and ST Elevation on the Monitor
A 50-something patient who had just had a median sternotomy called 911 for chest pain. The medics put him on the monitor and saw this: Note…
A Healthy 50-something with new dyspnea on exertion and an interesting ECG
A healthy 50-something who exercises regularly had new onset of dyspnea on even the slightest exertion for the previous 2 days. He…
2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion
Here are two different series of ECGs in 2 different patients with chest tightness/discomfort that resolved. Case 1 A 20-something with chest…
What is this rhythm?
Unfortunately, I remember who sent this EKG to me, or the clinical information, but it is a very interesting tracing. What is it? Below is an…