Chest Pain and Right Bundle Branch Block
A male in late middle age with a history of RCA stent 8 years prior complained of chest pain. EMS recorded the following ECG: What do…
Is this acute STEMI? LV Aneurysm? Would you give Thrombolytics?
Recently I posted a case describing “Acuteness” on the ECG and how to assess whether it is too late for reperfusion, especially…
Inspiratory Threshold Device Works if CPR is Adequate: New Evidence from ROC-PRIMED Trial
Re-Analysis of Data from the ROC-PRIMED Trial, presented at the AHA meeting in Chicago, shows that if CPR is done at the correct rate and…
Acute Severe Pulmonary Edema and New LBBB, with Bedside Echo
A middle-aged woman had sudden pulmonary edema in the middle of the night. There was no known history of left bundle branch block.…
What is the infarct artery? (Complex analysis, in this case)
This case was put on Twitter by Elisha Targonsky, who has a nice EM blog (http://thechartreview.org). He provided it for posting here.…
Is this inferor STEMI?
I received this ECG from a reader: This is a very elderly female with chest discomfort and SOB. Our interpretation was STEMI or demand…
Read this ECG
What is the diagnosis here? The computer read was ****Acute STEMI****What is really going on? See Answer Below This is a trauma patient (motor…
Cold symptoms and bradycardia. What is this pre-excitation?
A young man presented to the ED for cough and runny nose and was bradycardic, so an ECG was recorded: There is sinus rhythm with complete AV…
A Young Woman with Chest Pressure and Subtle, Focal ST Elevation/Depression
A very healthy woman in her 20’s (who, however, is a heavy smoker) presented with 4 days of waxing and waning substernal chest pressure…
What happened after the PCI?
A middle-aged male with h/o CABG x 3, previous stents, and aortic valve and aortic root replacement presented primarily with headache, but…