Weakness and Hypotension, with Bradycardia.
This dialysis patient called 911 for weakness. Medics found the patient to be hypotensive and bradycardic. The patient was taking…
An intoxicated, agitated, 29 year old with chest pain
Here is a one hour lecture on the topic of subtle coronary occlusion, especially on the left anterior descending coronary artery. Case…
Massive caffeine overdose: How does the ECG fit in?
This is the ECG of a patient with a massive caffeine overdose: What do you see? There is sinus tachycardia. There is some right axis…
Unusual ST Elevation in V1 and V2, and LVH, in a Patient with Chest Pain
This ECG was texted to me: Computerized QRS is 114 ms What do you think? There is an rSR’ in V1 and a qR in V2, suggesting incomplete…
Is it important to recognize LVH Pseudo-infarction patterns?
A middle-aged male called 911 for sudden severe chest pain. The medics were very worried about acute MI and recorded a prehospital ECG.…
A 40-something woman with chest pain. A medic takes control of the situation.
A 40-something woman with Chest Pain of 20 minutes duration called 911. It started while at rest and she describes it as crushing pain…
A 60-something with Syncope, LVH, and convex ST Elevation
Note 2 other similar cases at the bottom that come from my book, The ECG in Acute MI. Case While I was busy seeing patients, a resident…
A 16 year old girl with altered mental status and possible overdose
A 16 year old girl presented with altered mental status, probably due to alcohol intoxication, but also with possible overdose. As part of her…
ST Elevation and QS-waves in a patient with Dyspnea
I was shown this ECG of a patient with dyspnea: My interpretation: “Subacute STEMI” In other words, STEMI of at least 6 hours…
What is the culprit artery? Not what you think.
An elderly woman who was quite healthy except for some chronic renal insufficiency and hypertension had 3 days of classic angina lasting only…