12 hours of Chest pain in a 40-something
A 40-something yo woman with several coronary risks but no history of coronary disease developed 10/10 “gnawing” retrosternal…
The Same Theme: Large Lateral STEMI is Subtle on the ECG
This is a 34 yo female with no history of CAD who had the onset of chest pain at 0900. It was constant, achy, substernal, 7/10,…
Subtle Lateral ST elevation. False positive. This diagnosis is hard.
Case 1. A middle-aged woman presented with severe substernal crushing chest pain radiating to the left shoulder. This was her…
Ventricular fibrillation on a 12-lead ECG
A 54 year old male suddenly collapsed. He had not complained of symptoms prior to this. He received bystander CPR, then was…
Right Ventricular MI seen on ECG helps Angiographer to find Culprit Lesion
This is a video I made a while back. I thought it was worth a re-post. For those who don’t have time to watch a video,…
This ECG is nearly pathognomonic. What is it?
A 45 yo male with a known history of MI presents with a few hours of chest burning, resolved now. Here is his presenting ECG: There is…
Subtle Inferoposterolateral OMI, sent home!!
This ECG comes from Tom Bouthillet, who is devoted to good STEMI care, runs the EMS12lead ECG site, and who has also produced an outstanding…
Several Cases of ST Elevation from Early Repolarization
As I have pointed out in other posts, I have developed an equation to help in the electrocardiographic differentiation…
Atrial Flutter Mimicking ST Depression
A 65 year old presented with altered mental status and had an intracranial bleed: One could be fooled into thinking this is sinus tachycardia…
Osborn Waves and Hypothermia
Case 1. Temperature 30 degrees Celsius (86 degrees F) due to environmental hypothermia. There is very slow atrial flutter (rate =…