Massive Precordial ST Elevation. What is it?
This case comes from my book, The ECG in Acute MI: A male in his 70’s had a cardiac arrest and was successfully defibrillated. Below is…
Septal STEMI with ST elevation in V1 and V4R, and reciprocal ST depression in V5, V6
This was sent to me by a reader named Aaron. A 36 yo male smoker presented to the ED with chest pain. It had started the night before as…
First ED ECG is Wellens’ (pain free). What do you think the prehospital ECG showed (with pain)?
This male in his 40’s had been having intermittent chest pain for one week. He awoke from sleep with crushing central chest pain…
Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis?
A male in his 60’s with med h/o only significant for HTN and hyperlipidemia presented for CP and SOB. On the day prior,…
Transient ST elevation and Peaked T-waves. Unstable Angina and Hyperkalemia.
Sinus rhythm. ST elevation in I, aVL, V5, V6, with ST depression in V2-V4, diagnostic of posterolateral STEMI. There are peaked…
Blunt Trauma in a Child
For a related tragic case, click here. A child between the ages of 5 and 10 was restrained in a motor vehicle collision and sustained multiple…
Extremely Subtle ECG, but Bedside Echo Shows Wall Motion Abnormality and Ischemic Pain Cannot Be Controlled Medically
A male in his 40’s with no previous cardiac history had presented to a clinic recently with chest burning, had a nondiagnostic ECG, and…
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…