Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!
This was contributed by some folks at Wake Forest: Jason Stopyra, Shannon Mumma, Sean O’Rourke, and Brian Hiestand. It was edited by…
Chest Pain and Cardiogenic Shock with Profound ST Depression & STE in aVR. Activate the Cath Lab?
A middle-aged woman with known severe coronary disease had onset of substernal chest pain while at dialysis. 911 was called. A…
Paper published: Terminal QRS distortion not found in any ECG of Early Repolarization
This ECG comes from a 30-something with chest pain. Is it early repolarization? Or is it LAD occlusion? The paper below…
Biphasic T-waves in a Middle-Aged Male with Vomiting
One of our residents texted me this ECG and was worried about Wellens’ waves. A middle-aged male presented with vomiting. Here was…
Respiratory Symptoms and ST Elevation with Hyperacute T-waves
An elderly woman was brought to the ED for hypoxia. She had a history of chronic respiratory failure with a tracheostomy and had had…
I saw this on the computer. Most physicians, at first glance, get this wrong. What is it?
I was reading ECGs on the system, and saw this: I immediately recognized it like I recognize a friend’s face. (OK, I’m…
An apparent SVT that does not persistently correct with adenosine
A middle-aged woman presented for abdominal pain. She was found to have a heart rate of 150. A 12-lead was recorded: There is a…
Is this STEMI? LVH? Early Repolarization?
This 60-something with diabetes presented with abdominal pain, nausea, and vomiting. We all know that diabetics with acute MI may present like…
RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?
This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently, and edited by Smith A very healthy 40 year-old…
Anaphylaxis and ST Elevation
This was written by one of our excellent 2nd year residents, Nathan Ansbaugh, with some editing and commentary by Smith. An otherwise healthy…