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…
Chest pain, ST elevation, and negative serial trops: normal variant (“early repol”). Right?
Case A 58 year old man presented with intermittent chest pain for 2 weeks. He has active pain at the time of this initial ECG: QTc is 455 ms…
Inferior MI? Or LVH?
A middle-aged male presented with acute chest pain: There is sinus rhythm. There is LVH by voltage in aVL, with what may appear to be…
Patient with severe DKA, look at the ECG
This patient presented with severe DKA. Here is the ECG: Sinus tachycardia. What do you think? The computer and physician reader wrote:…
Grouped Beating, What is it?
This is a case seen by one of my great partners at Hennepin County Medical Center Dept. of Emergency Medicine, Dr. Ashley Strobel,…
A Patient with Cocaine Chest Pain and Prehospital Computer interpretation of ***STEMI***
A 20-something male drank heavily of ethanol and used cocaine, then was involved in a stressful verbal altercation, at which time he developed…
A very fast narrow complex tachycardia in an Infant
Case 1 A 4 month old infant with known co-arctation of the aorta and reflux presented with respiratory distress. Here is the ECG: A Narrow…
Do patients with LBBB and STEMI, when reperfused, develop T-wave inversion (reperfusion T-waves)?
The case below was contributed by Pendell Meyers, an EM G1 at Mt. Sinai (the case did not come from Mt. Sinai though!) Pendell is the lead…
Wide Complex Tachycardia and Cyanosis
This case was sent by a former HCMC resident: A 20-something non-English speaking woman with a history of some sort of congenital heart defect…