A Tough ECG, But Learn From It!
I have to tell this story from my point of view because I don’t want anyone to think that the recognition of LAD occlusion was made in…
37 yo with 1.5 hours of burning chest pain
A 37 year old with a history of DM on metformin complained of acute onset of burning chest pain. He called 911. They did an ECG but it…
Formula to differentiate Normal Variant ST Elevation (Early Repolarization) from Anterior STEMI
Here is a link to the full text of the article in Annals of EM It is critical to use it only when the differential is subtle LAD occlusion vs.…
A Tragic Case, related to the last post
5-10 years ago, a male in his 70’s presented with weakness. There was no chest pain. Here is his initial ECG: There is…
Hyperkalemia and ST Segment Elevation, Post 1
Case 1. A male in his 60’s presented with weakness. Here is his initial ECG. He had no chest pain: Probable junctional…
K. Wang Video: the Atrial Repolarization Wave (Ta Wave)
Ta Wave (Atrial Repolarization Wave) from HQMedEd on Vimeo. Here is an example of the atrial repolarization wave mimicking ST depression
4 mm of ST elevation in lead V2 (at the J-point) relative to PQ junction
A male in his 30’s male complained of chest pain while having a dental procedure, then became syncopal. The patient is young…
Activate the Cath Lab?
This 52 year old African American male presented with chest pain that was not clearly typical. Here is his ED ECG: There is ST elevation…
This ECG is pathognomonic of a life threatening condition, and you must be able to immediately recognize it
What is wrong with this patient who complains of weakness? PR is 224 ms, QRS 177 ms. Answer below Answer: HyperK. You must be able…
STEMI Seen Best in PVC, Diagnosed by Medic, Ignored by Physician
This is a male in his 50’s who was lying face down on the pavement stating that his chest was “killing him.” He stated…