Right Bundle Branch Block with ST elevation in V2, V3. Why?
This young male patient had a very atypical presentation for STEMI (near syncope and abdominal pain after smoking an unknown drug), but we can…
Two interrupted sinus beats. What is the etiology?
Thanks to our electrophysiologist, Rehan Karim, and to Dr. Wang for their assistance in this case. This is from a young person with…
Male in his 50’s with chest discomfort
A male in his 50’s with a history of type I DM was riding his bike to work when he developed squeezing chest pressure and a sensation…
Chest pain and Bradycardia
An elderly male complained of chest pain. He had no previous cardiac history and was only on aspirin, a statin, and a proton pump…
A 20-something with palpitations and dizziness. What action will you take?
I have posted on this topic before, but whenever I think that readers completely understand it, I find there are still many who do not. …
Pseudo Type II Second Degree AV Block Induced by Concealed Premature Junctional Complexes (PJCs) (contributed by K. Wang)
This patient is running on a treadmill: Figure 1. There are frequent apparently non-conducted p-waves. The PR interval is not…
Instructions for using subtleSTEMI iPhone app
Some have asked for instructions in using the app: 1. The warning states that it should only be used when the…