Is This a Simple Right Bundle Branch Block?
A 72 year old male presented in shock. Here is his initial ECG: There is a wide complex at 194 ms, with RBBB. Anything else? Here is his…
Pseudonormalization of T-waves: STEMI
Here are other cases of pseudonormalization. A 61 y.o. female with no h/o coronary disease presented with 3 days of nausea, vomiting, 3-4…
Repost: what is the diagnosis?
I’m reposting an edited version of this post from June 2009. This is a 46 yo male with acute onset of chest pain, in distress, who…
Inferior hyperacute T-waves and ST elevation. Angiogram is normal. What happened?
I recently received this from a reader: “I recently saw this 31 year old male with central chest tightness that started at 530am and…
Great case from EMS 12-lead: lateral STEMI in paced rhythm, missed
Click here for a great case posted by Tom Bouthillet at EMS 12-lead.
Intermittent third degree heart block due to stuttering inferior STEMI
A 71 year old male complained of near syncope and SOB without any chest pain. His pulse was slow. He was put on the monitor. …
Intermittent third degree heart block due to stuttering inferior STEMI
A 71 year old male complained of near syncope and SOB without any chest pain. His pulse was slow. He was put on the monitor. …
Interesting new paper: in this study, even interventionalists had a hard time differentiating non-ischemic ST elevation from STEMI
Reference: Tran V, Huang HD, Diez JG, et al. Differentiating ST-elevation myocardial infarction from nonischemic ST-elevation in…
Benign T-wave Inversion: view video or read text
Benign T-wave Inversion from HQMedEd on Vimeo. There are many etiologies of T-wave inversion. We are most worried about ischemic T-wave…
Weak, SOB, “DKA”, Chest Pain, and Wide Complex Tachycardia: Is there STEMI?
This case was sent by a reader: A 60 year old man presented with “DKA,” Weakness, Dyspnea, and Chest pain with vomiting. He…