Acute Pulmonary Edema, Respiratory Failure, and LBBB
A man in his 70’s called 911. When medics arrived, he was in extremis with respiratory failure, able only to say he has a history…
Regular Wide Complex Tachycardia. What is the Diagnosis?
A male in his 40’s with no previous heart history presented with palpitations. There were no symptoms or evidence of…
Right Bundle Branch Block with ST Elevation in V1?
There is a wide QRS with a tall R-wave in aVR and V1 and wide S-wave in lateral leads, leading one to believe this is RBBB. There is ST…
Heart rate of 230 beats per minute
What can you say about this ECG at a rate of 230 beats per minute? Answer below The QRS is very narrow (about 70 ms?), so it must be a…
Young African American Male with Atypical Stabbing Chest Pain
An thin, athletic African American of age under 30 had some chest trauma and stabbing pain that was positional. He had this ECG…
Inferior MI with positive troponin: Acute STEMI or Old MI with new NonSTEMI?
A 40 year old male without cardiac risk factors and with no h/o CAD presented with a few days of intermittent typical chest pain. He has…
Male in his 40’s with chest pain.
A male in his 40’s was in his usual state of health until 3 hours prior when he developed L-sided chest pressure, radiating to the neck,…
Bradycardia
A 60’ish male presented with 2 weeks of intermittent chest pain. He has a history of MI and renal insufficiency. Now he…
Right Bundle Branch Block with New Anterior ST elevation
An elderly female with no known history of CAD presented to the ED as a walk-in with vomiting and upper abdominal discomfort. The…
Precordial ST depression. What is the diagnosis?
A middle aged male with no h/o CAD presented with one week of crescendo exertional angina, and had chest pain at the time of the…