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…
Syncope During Exercise in a 12-Year Old
This was sent by a paramedic who wishes to remain anonymous. 911 was called because a 12 year-old female had a “seizure” at the…
My Very Smart Colleagues are Getting Very Good at Diagnosing Subtle Occlusion
My very smart colleagues are getting very good at this! A male in his 40’s with a significant history of coronary disease and stents…
ST Elevation: Inferior MI or Early Repol? Ultrasound Speckle Tracking Can Help.
Rob Reardon, our ultrasound director, showed me this ECG of a 50 yo with chest pain he had seen a few days prior: I said “Early…