Irregularly irregular supraventricular very fast rhythm: what is it?
A young woman presented to the ED with a complaint unrelated to any cardiac condition. The pulse was fast. The physican noted it was…
A woman in her 20s with syncope
A young woman had what sounded like vasovagal syncope. This ECG was recorded: There is incomplete RBBB (QRS = 110 ms). There is…
All this teaching makes a difference! And a new paper on subtle ST Elevation.
One of my residency grads sent this. A male in his 50’s with h/o CAD presented with 2 days stuttering chest pain (also with nausea,…
Very Fast Very Wide Complex Tachycardia
A male in his 60’s called 911 for dizziness and chest pain, onset with exertion. He was pale and diaphoretic (in shock) with a…
Chest pain relieved by Maalox and viscous lidocaine
An otherwise health male in his early 40’s presented with “burning” in his epigastrium that radiated to his throat and was…
Beware confusing the diagnosis of posterior STEMI by using posterior leads…
Or at least understand their limitations!! This patient had chest pain and this ECG: There is no significant ST elevation. But there is…
Register for SMACC-Chicago!
All: Don’t forget SMACC Chicago 2015, June 23-26 (23rd is for workshops) Many of the workshops are already sold out, but there are some…
Subtle LAD Occlusion with Pseudonormalization of Wellens’ Waves.
Here is another patient I saw a few weeks ago He is in his 30’s and presented with many hours of chest pain. Here is his…
It is Far too Early for a Requiem for Unstable Angina
Dr. Braunwald declared that high sensitivity troponins will make Unstable Angina a thing of the past. That very well may be true, but in…
I was reading a stack of ECGs yesterday, and saw this one, with no clinical information….
I was reading a stack of ECGs yesterday, and saw this one, with no clinical information: What do you think? (computerized QTc is 429 ms) See…