A very elderly woman with a pacemaker and minimal symptoms
This was a very elderly woman with a pacemaker and minimal symptoms: What are these broad complexes superimposed on the native QRS? Are…
Right Bundle Branch Block. What else?
This is complementary to a recent previous post. A dialysis patient presented with pedal edema. As a screen for hyperkalemia, an…
A young healthy male with epigastric pain and tachycardia
A young previously healthy man with no past medical history presented with a complaint of epigastric pain for a few days. He had no…
What is the culprit vessel?
A patient presented with chest pain and had this ECG: There is obvious ischemic ST elevation with reciprocal ST depression. What is the…
This ECG is NOT Pathognomonic of Brugada Syndrome
This was contributed by a friend and colleague from a Yale affiliated hospital, Brooks Walsh. Here is Brooks’ case I had a great…
Is this Saddleback a STEMI??
I saw this Middle-aged patient with no previous cardiac disease who presented with worrisome substernal chest pain: Sinus rhythm with…
Epigastric Abdominal Pain and Vomiting
No details important to the diagnosis are left out, but the details are intentionally vague to preserve anonymity. The details need not be…
“Early Repolarization” followed by ventricular fibrillation.
This is a repost of part of one of the most viewed posts ever. This patient with little past medical history presented feeling moderately ill.…
Emergency Transvenous Cardiac Pacing
This case was provided by one of our fine 5th year EM/IM residents, Rachael Krob MD. The description of the method for inserting a pacing wire…
Palpitations in a Young Healthy Male
A previously completely healthy young man presented to the ED after an episode of palpitations, dizziness and weakness while at work today.…