18 hours of intermittent chest pressure
A male in his 60’s with no previous cardiac history complained of substernal chest pain intermittently for 18 hours. It has more…
EP Report back on this case: a very fast narrow complex rhythm followed by a very fast wide complex
This was a very interesting case: A Very Fast Regular Narrow Complex, Followed by an Equally Fast Regular Wide Complex It had a very fast…
A Hybrid of de Winter’s T-waves and Diffuse Subendocardial Ischemia: Left Main Ischemia
A very elderly woman who was highly functional complained of jaw pain and called 911. Her BP was 80/40 with a puls of 45. Here is…
Smith SMACC-Gold Lecture in on the Intensive Care Network: Subtle ischemia, or NonSTEMI that need the Cath Lab Now
This is the 30 minute lecture I gave at Social Media and Critical Care (SMACC) on the Gold Coast of Australia in March. It is called…
Chest Pain and a Very Abnormal ECG
A male in his 60’s with no history of coronary disease presented with chest pain. Here is his ED ECG: He had several previous ECGs…
Some Cardiologists still are not familiar with Sgarbossa Criteria…..
This case shows how you have to advocate for your patient. You have to be the expert. I talk to a lot of emergency physicians who have…
Is it Wellens’ Syndrome?
A middle-aged African American man with history of tobacco use, HTN, and chronic renal disease, but no known coronary disease, presented with…
A Mystery Rhythm, Explained by K. Wang’s Ladder Diagram.
This was presented at the SMACC-Gold EKG workshop: Can you figure it out? See the answer below. Here is a nice ladder diagram and explanation…
Diffuse ST Elevation. What do you think?
What do you think of this ECG, without any clinical information? There is inferior and lateral ST elevation and ST depression in V1 and V2,…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…