What is this? A Perplexing ECG.
A 46 year old woman had syncope. Before seeing the patient or reading the chart, the physician viewed the ECG and was perplexed: What…
A Patient with Syncope
A young man had sudden syncope without a prodrome, after which he was aysmptomatic. He presented to an ED and had this ECG recorded:…
Where is the lesion in this STEMI?
A middle aged male presented with chest pain. EMS was called and an ECG was recorded which is virtually identical to the first ED ECG.…
Symptomatic Bradycardia. So-called Trifascicular Block. Occum’s Razor and Hickum’s dictum.
A middle-aged male with PMH significant for atrial fibrillation, cocaine use, DM, HTN, hyperlipidemia, and previous MI that was related to…
ST Elevation. What is it?
A young woman was found down, unresponsive, with legs crossed. She was intubated by medics. A prehospital EKG (not found, but…
A 12 year old with Wide Complex Tachycardia
A previously healthy 12 year old presented to the ED with a “fast heart rate” that had started about 1.5 hours prior to…
Dyspnea and Convex ST elevation, Marked LVH, with Bedside Echos
Case 1. Chief complaint: A 60-something African American male with 5 days of increasing SOB with dyspnea on exertion. This male in his…
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…