A 65 Year Old Man with Chest pain and Precordial ST Elevation
This case was sent by Sam Ghali (@EM_RESUS) A 65-year-old gentleman presented to the ED complaining of chest pain. He asked my thoughts…
Middle-aged Diabetic with Syncope, Diaphoresis, Nausea, and Dizziness
This middle-aged male with history of 3 previous stents, 2 in the RCA, had Syncope, Diaphoresis, Nausea, and Dizziness. He called 911 and the…
An Elderly Male with “Indigestion”
This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently, and edited by Smith Case An elderly male called…
It is easy to be led astray by the computer….
I saw this ECG lying around: The computer called this “normal” with no other comment. what do you think? It is amazing that the…
Anterior STEMI? Or Benign Early Repolarization?
This was posted a few years ago. I’m highlighting it again, with comments from Ken Grauer below. This was sent to me by Jason…
Just as hyperacute T-waves can be reciprocal to T-wave inversion (last case),…..
Just as hyperacute T-waves can be reciprocal to T-wave inversion (last case),….. ….T-wave inversion can be reciprocal to…
How do you explain these inferior hyperacute T-waves?
Alberto Pinsino, a cardiology fellow from Milan, Italy, sent this case: Dr. Smith, I would be interested in knowing your opinion about this…
Dyspnea, Right Bundle Branch block, and ST elevation
An elderly male called 911 for acute onset of shortness of breath and vomiting. EMS found him with a heart rate as high as 180 and…
Wide Complex Tachycardia with Fusion and Capture Beats. Not what you think.
This late middle-aged patient presented with acute hypoxic respiratory failure, with chest discomfort and apparent pulmonary edema, with a…
Acute Respiratory Distress, Hypoxia, and a Large Right Ventricle on Bedside Ultrasound
A 50-something presented in acute hypoxic respiratory failure, alert and in respiratory distress. She required Bilevel positive pressure…