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,…
ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis
A young man was in a rollover Motor Vehicle Collision, with a chest laceration and chest pain. He underwent a CT scan of the chest: There is a…
2 Examples of Posterior Reperfusion T-waves
Posterior Reperfusion T-waves have never been described in the literature, until now. Dr. Brian Driver and Dr. Gautam Shroff have joined…
A Woman with 8 hours of Ongoing Crushing Chest Pain and T-wave Inversion
This case was presented in a conference I attended. I had never heard of the case before but made the observations that I give here…
Tachycardia, Fever, and ST Elevation
This patient is approximately 30 years old with some serious baseline illness, and has a history of nonischemic cardiomyopathy. 911 was…
Chest Pain, ST Elevation, and an Elevated Troponin: Should we Activate the Cath Lab?
This was written by Sam Ghali (@EM_RESUS), with a few edits by me. 52-year-old lady presents to the Emergency Department with 2 hours of chest…