LAD occlusion or Early Repolarization?
This male in his 20’s presented with chest pain: There is sinus rhythm with a PVC. There is 2.5 mm ST elevation at the J-point, relative…
A patient with a ventricular paced rhythm and chest pain
One of my residents who just graduated saw this patient and sent the case: This 80-something patient presented with chest pain. He had…
Smith EKG lectures next year (2017)…..Schedule
I will be speaking at these conferences next year: 1. Oregon ACEP’s 2017 Annual Conference in SunRiver will be January 28th-…
Non-Vagal Syncope and Saddleback Morphology in V2
This is another case provided by Mustafa Alwan, an internist from Jordan and very talented ECG enthusiast. He posted it on Facebook…
A Patient with Vomiting and Abdominal Pain
This patient complained of prolonged vomiting and abdominal pain. With this history, the ECG is pathognomonic. What is it? First, there are…
An Alcoholic Patient with Syncope
A middle-aged male had sudden syncope. There was head injury and he was intoxicated with alcohol, but he stated “I’ve been…
40-something with severe CP. True + vs. False + high lateral MI. ST depression does not localize.
This was sent by Jason Winter of the Facebook Page Clinical Electrocardiology This post presents one new case, then reviews some…
Syncope, Hypotension, and a Large Right Ventricle — What is the ECG Diagnosis?
Case A 60-something woman had syncope and was unconscious for a few minutes. It was not a seizure. EMS found her lethargic and…
2 Cases of Acute Ischemic Stroke — What is the Etiology?
Case 1. An elderly patient had sudden onset of severe hemiplegia. He had no chest symptoms. Head CT was negative. tPA…
An Unusual Tachycardia
This Case was sent by Atif Farooqi and Scott Weingart, from Stony Brook. This is a 70-something with history of CABG who presented with 30…