Electrical Alternans? From Archives of Internal Medicine.
Here is a nice case from Archives of Internal Medicine. Surprisingly, one can read it without a subscription. For the ECG, page…
pdf full text of article on early repol vs. anterior STEMI
This article is now in print in July annals. Smith SW et al. Electrocardiographic Differentiation of Early Repolarization From Subtle…
LVH and New ST-segment elevation: False Positive or True Positive STEMI?
A 72 year old man fell from standing and had head trauma. He was initially disoriented, but cleared. BP was 80/50…
Chest pain and ST-segment Elevation
This was provided by Casey Parker at Broome Docs Blog, with permission. A 23 year old presented with pleuritic left chest pain radiating to…
What is the Diagnosis?
This 65 year old woman presented in cardiogenic shock: Some will find this easy (if so, sorry!), but some might be confused. See below.…
Pseudo-Wellens’ Syndrome due to Left Ventricular Hypertrophy (LVH)
A 52 year old male presented with epigastric pain, continuing in the emergency department. He has a history of hypertension, and is on…
Dynamic inferior MI: STEMI or Non-STEMI? Does it matter?
A 63 year old with no cardiac history developed substernal chest burning while exercising, relieved with rest. It later woke him…
ST depression after cardiac arrest is frequently not due to ACS
Case 1 A 22 yo male had a cardiac arrest with ventricular fibrillation recorded. He was resuscitated. He was comatose. Here…
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…