ST changes due to limb lead LVH?
This was a middle aged female with a h/o CAD who presented to the ED by EMS sudden onset of central chest pressure 45 min prior to…
What is the rhythm? And is there new left bundle branch block (LBBB)?
A 90 yo with a history of orthostatic hypotension had a near syncopal event followed by chest pain. Chest pain was resolved upon arrival in…
Wide Complex Tachycardia: what is it?
I’m going to show you this one without history. Rate is 133. There are no definite p-waves. The QRS is only 126 ms. …
Prolonged Chest Pain. Is this LV aneurysm or acute anterior STEMI? Acuteness of STEMI and viable myocardium.
This patient had no significant past medical history. He presented with chest pain of 48 hours duration which became worse in the…
New LBBB after Cardiac Arrest
An elderly man with a history of DM and renal failure had a complaint of back pain, and called 911. En route, he had a seizure, then…
Peer Reviewed Lecture: ECG Diagnosis of STEMI-equivalent in Left Bundle Branch Block (20 minutes)
This is a lecture for the journal Academic Emergency Medicine, which now publishes lectures that have been peer-reviewed. This is the second…
What is the Diagnosis?
A 60 yo woman presented with CP and troponin I of 0.85 ng/ml. There is RBBB, but without the usual rSR’ in right precordial…
Inferior Dynamic T-waves
A 51 yo healthy male had been lifting 5 lb. weights, then went to shower when, at 0800, he developed severe crushing 10/10 left sided chest…
RBBB with dynamic T-waves
56 y/o male who presented with 12/10 severe chest pain starting at 3AM, radiating to his upper back. He had a history of pulmonary…