Bilateral Arm and Mid Back Pain, BP 250/140, in a 50-something
A 50 something presented with 10/10 bilateral arm and pain between the shoulder blades that started at work. It felt like a…
Transient ST elevation, rules out for MI, what is it?
A 70 year old diabetic complained of 6/10 epigastric pain. Here is his initial ECG: There is diffuse ST elevation: II, III, aVF and…
A 50-something with severe chest pain and a normal ECG
A 50 something with no past history presented with sudden severe substernal chest pain with no radiation or associated symptoms. The…
Wide Complex Tachycardia: Lewis Leads Do Not Differentiate VT from SVT with Aberrancy
An 83 yo complained of palpitations and dizziness and presyncope. He had a history of systolic heart failure with an EF of 40-45% and…
20 year old woman with dizziness and hypotension
This is posted courtesy of Jaber Ibrahim Almajbri. He posted it on Facebook EKG club and gave me permission to post it here. This 20…
An elderly man with severe chest pressure……
This was sent to me by a medical student: The patient is an elderly man with no significant past medical history who developed what he…
Male in early 40’s with 1.5 hours of chest pain
A third year medical student sent me this ECG and asked for my interpretation: Recorded 0625 Here is what I wrote back: “Tough…
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…