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…
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…