Rupture of Aneurysm of the Sinus of Valsalva Presenting as Cardiogenic Shock and Severe Ischemia
This was sent by Nick Jubert, MD, one of our fine EM residency graduates who works at a facility without a cath lab, so has to transfer…
Chest pain in an elderly male.
An elderly male complained of chest pain. Here is his ED ECG: Inferiorly, there are Q-waves with minimal ST elevation and reciprocal ST…
Even with STE in V5 & V6, inferior STE without reciprocal STD in aVL is unlikely to be STEMI
Case 1. A younger middle-aged male called EMS for chest pain. They recorded a prehospital ECG which I do not have, but they did…
Is this Acute Ischemia? More on LVH.
Case 1. A middle aged male presented with chest pain. Here is his ECG (Figure 1): What do you think? Interpretation: All repolarization…
LVH with anterior ST Elevation. When is it anterior STEMI?
This is another great case and discussion was contributed by Brooks Walsh, with some additions by Smith. Here we discuss the…
Chest pain with New LBBB: It helps to actually measure the ST/S ratio
An elderly male presented with 48 hours of off and on chest pain. This ECG was recorded with pain: The QRS is 130 ms. It is…
A Fascinating Demonstration of ST/S Ratio in LBBB and Resolving LAD Ischemia
This case was contributed by one of my talented colleagues, Johanna Moore, MD. She is our research director and is doing some great…
Syncope, Shock, AV block, Large RV, “Anterior” ST Elevation….
An elderly male had a syncopal episode. 911 was called. When medics arrived, the patient was alert and following commands.…
Briefly without pulse, has pulmonary edema and LBBB with 10 mm of ST Elevation
A middle-aged male was found down. EMS was able to get the patient to climb onto the ambulance by himself, then during transport he…
ST Elevation and a Wide QRS. EMS activates the Cath Lab.
A middle aged male with nausea, abdominal discomfort, and weakness called 911. The medics recorded this ECG: There are prolonged pauses,…