ST elevation and depression: is it ischemia? The entire clinical context is critical.
This patient has a history of cardiomyopathy (EF 10%) and IVCD and heart failure and presented with altered mental status. BP was…
Paced rhythm. Are there hyperacute T-waves? See the T-wave evolution, even in paced rhythm.
This was sent to me by John Larkin, from Australia, who has a great ECG Blog called “ECG of the Week,” where he posted it, and…
Paced rhythm, Modified Sgarbossa negative, but with a Wall Motion abnormality.
This case was posted by my colleagues at the Hennepin Ultrasound Blog, as Apical Wall Motion Abnormality or Electrical Asynchrony? But there…
40 Minute Lecture with Many Cases: Complications of Acute Coronary Syndrome.
This lecture starts with 13:45 minutes of didactics, then goes on to 26 minutes of 11 case presentations. There are many ECGs and…
Severe LVH and PseudoSTEMI
An elderly male with end stage renal disease had hypotension (50’s systolic) and syncope (LOC, and loss of radial pulses) during…
A Case of Clinical Unstable Angina in the ED
A woman in late middle age with a history of a mild stenosis of the RCA seen on CT coronary angiogram 4 years prior presented 2 hours after…
A Middle-Age Male with Chest Pain that Recurs in the ED
A middle aged male with some coronary risk factors presented to the ED after an episode of typical sounding chest pain that was resolved upon…
Syncope and a Possible Type 2 Brugada Morphology
A young man had 10 seconds of syncope without a prodrome. He had had it once before. Exam was normal. This ECG was recorded: There…
One hour lecture on Subtle ECG findings of Acute LAD Occlusion (plus some inferior/lateral/posterior)
This is my most popular lecture, which Scott Joing of www.hqmeded.com just recorded for me in his amazing video recording studio. When I give…
Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?
A middle-aged male had a V Fib arrest. He had not complained of any premonitory symptoms (which is very common). He had a history…