Terminal QRS Distortion: Diagnostic of LAD Occlusion. Or is it Pericarditis?
A middle-aged woman presented with what is described as a burning feeling in her chest which the physician said was “very…
A 30 year old African American with Chest pain and T-wave Inversion
A 30 yo African American Male presented agitated and with active chest pain, thought to be on a stimulant. This ECG was recorded: There…
Diffuse ST Elevation. Diagnosis confirmed with Bedside Echo.
A male in 40’s with left sided chest pain since last night with associated shortness of breath. The pain worsens with turning on left…
Lateral Hyperacute T-waves in V5 and V6
A middle aged male with no significant past medical history complained of several hours of chest pain. Here is his initial ED ECG: The…
Long QT Syndrome with Continuously Recurrent Polymorphic VT: Management
A young woman presented with intermittent shocks from her implantable defibrillator. She was intermittently unconscious and unable to…
Diffuse ST Elevation and Chest Pain, What is it?
A male in his 40s presented by EMS with 24 hours of chest pain. The pain was central, anterior, dull and squeezing, and 5/10, not…
Giant R-waves. What are they?
This case was sent to me by my frequent co-author, Brooks Walsh, with some editing by me: An elderly patient was brought in by EMS from a…
Chest pain in the setting of Paced Rhythm: 3 minute ECG Video
I recorded this years ago, before the blog existed:
A Male in his 40’s with Decreasing Chest pain – what do you think?
A male in his 40s presented with decreasing chest pain. Here was his first ECG: There is sinus rhythm. The QTc is 379 ms. There is ST…
More Evidence that Inspiratory Threshold Device Improves CPR
More evidence that inspiratory threshold device improves CPR (but only when CPR is done right!): Resuscitation online…