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…
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…
Two (apparent wide complex) Rhythms in One Patient: First is at rate of 300, second at Rate of 180
A middle-aged patient with no known significant past medical history had sudden onset of palpitations, diaphoresis, dyspnea. This lasted…