2 different wide complex rhythms (rate about 60) in a patient with chest pain
A male in his 40s presented to the ED by ambulance with acute chest pain, possibly waxing and waning. He had been working out and felt…
Tachycardia, Dehydration, and New ST Elevation in a 20-something, then a Surprise.
A male in his early 20s presented intoxicated, with no CP or SOB. An ECG was obtained for tachycardia. First ECG: Sinus tachycardia at…
A 20-something with DKA and a regular wide complex tachycardia
Medics were called to see a 20-something type 1 diabetic with h/o DKA who had altered mental status. He was found to have…
Why did this patient have ventricular fibrillation?
A previously healthy 50-something collapsed while exercising. He underwent CPR and defibrillation and was brought to the ED. Here is his…
How unreliable are computer algorithms in the Diagnosis of STEMI?
A 61 year-old with chest pain arrived to the ED by ambulance with resolving chest pain. Here is his ED ECG: The computer interpretation…
Subtle Dynamic T-waves, Followed by LAD Occlusion and Arrest
This case was written by Sam Ghali: (@EM_RESUS). Thanks, Sam! Case A 42-year-old lady presented to the ED with complaints of…
Another 40-something with intermittent chest pain
I was sent this ECG by a resident from elsewhere, with the following information: “Young previously healthy man with several 10-20…
A 40-something with chest pain in the middle of the night
This was sent by one of our former residents. Case “A 40-something year old man awoke with chest pain in the middle of the night.…
An unstable wide complex tachycardia resistant to electrical cardioversion
Thanks to our electrophysiologist, Rehan Karim, for his help with this post. Case A very elderly inpatient suddenly had a rapid pulse by…
Chest Pain, LBBB, and a ratio that does not quite meet the Modified Sgarbossa Criteria
Case A 55 year old male heavy smoker presented with agonising chest pain and this ECG: There is sinus rhythm. There is left bundle branch…