Before diagnosing STEMI, try to find a previous ECG!
A man in his 50’s complained of typical chest pain. Here is his ED ECG: There is a Q-wave in V2, with ST elevation and hyperacute…
Middle Aged Male with Chest Pain and Previous MI
A middle aged male with h/o CAD presented with chest pain. He had a recent previous stent in the circumflex. Here is the ECG at…
STEMI: Which coronary artery is occluded?
This middle aged male with chest pain had this recorded by the medics at t = 0: ST elevation in I and aVL and reciprocal ST depression in…
Two patients with chest pain and ST elevation. Are they STEMI?
Both of these patients presented with chest pain. What do you think of the ECGs? For the answer, go to the free pdf of this paper…
Back pain radiating to the chest in a man in his 40’s
A man in his 40’s presented with severe back pain radiating to the chest. Here was his ECG, with pain: What is your diagnosis?…
Full Text of Left Bundle Branch Block Article Now Free Online
Smith SW et al. Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation to…
An Emergency Physician Texted Me This ECG, Asking for Help in Interpretation and for Advice in Management
I was in a meeting and received a text message: “can you look at an ECG?” I texted back to take a photo and send it. The…
Chest Pain and Right Bundle Branch Block. What is the Diagnosis?
A male in his 70’s with no h/o MI or CAD presented with new onset chest pain. Here is his ED ECG: There is sinus rhythm and right…
Wide Complex Tachycardia. What is the Diagnosis?
A man in his 40’s with a h/o coronary disease complained of sudden dizziness and chest pain. Medics found him with a high pulse,…