A Patient with Ischemic symptoms and a Biventricular Pacemaker
This case was sent by Gary Giorgio from Summa Health Emergency Medicine Residency in Akron, Ohio. He frequently sends very…
Altered Mental Status with Agitation and Tachycardia
This was originally posted on May 8, 2014. It was one of the FOAM posts used to evaluate the ALiEM AIR Rating for FOAMed resources, just…
Wide Complex Tachycardia, and What is Latent Conduction and “Concealed Conduction?”
An otherwise healthy woman in her 20’s with no past medical history presented with tachycardia. She had experienced palpitations…
“Shark fin” ECG in I, aVL, V4 and V5. Which artery? Hint: patient is in shock and was put on ECMO
This was contributed by Rohin Francis (Twitter: @MedCrisis), a cardiologist from England and FOAM enthusiast. Case A 55 year old lady…
ED Diagnosis of Acute Coronary Occlusion by Speckle Tracking (Strain Echocardiography)
We just published this case report, the full text of which you can read here. The ECG is diagnostic of coronary occlusion also, but many…
A Pathognomonic ECG
This was sent to me by Mauro Cassazza from Italy: What do you see? Analysis It is tempting to think that the waves before the QRS are large…
What, besides large anterior OMI, is so ominous about this ECG?
This late middle-aged male had sudden onset of chest pressure. Here is the prehospital ECG: The rhythm is a bit hard to discern. It appears…
A Middle-Aged Woman with 3 days of Chest pain and Posterolateral Injury on the ECG
A middle-aged woman called 911 for burning chest pain and dyspnea. Here is her prehospital ECG: There is clearly acute myocardial injury…
Chest Tightness and Asthma in a Young Man
A male in his 20’s presented with chest tightness and dyspnea. He had wheezing. An ECG was recorded: There is sinus…
One reason we get ECGs in stroke patients
This patient presented with a sudden right sided weakness and ophthalmoplegia that was resolving upon presentation to the ED. Here is his ED…