Tachycardia with Pericardial Effusion
A 52 year old man with a history of atrial fibrillation and prosthetic mitral valve replacement just 11 weeks prior presented with a complaint…
Anterior ST elevation: is it STEMI?
I received a call from an outside hospital. A 31 year old healthy auto mechanic had a prolonged exposure to Carbon Monoxide in his…
Hyperacute T-waves, with a Twist
A 30 year old male complained of chest pain and then collapsed. He was resuscitated from ventricular fibrillation. He arrived at…
Atrial Repolarization Wave Mimicking ST Depression
A 25 year old woman presented with a caffeine overdose and chest discomfort. This is her ECG: There is sinus tachycardia (rate =…
Left Bundle Branch Block (LBBB) with Chest Pain, concordant and excessively discordant ST depression V2-V6
A middle-aged male presented pain free after an episode of chest pain. Here is the initial ECG (sorry some is cut off — it is an…
Wellens’ syndrome, no culprit, what happened?
A 55 yo male with h/o smoking complained of 4 days of intermittent chest pain lasting up to a few hours each day. He presented to the ED…
Four anterior STEMIs: acute and reperfused vs. won’t reperfuse, subacute and reperfused vs. not reperfused
These 4 recent cases illustrate acute and subacute MI with reperfusion and absence of reperfusion (or failed reperfusion). QS-waves and…
Wide complex tachycardia in a 36 year old
A 36 year old male presented with palpitations. He has had these many times for many years, episodes lasting 30-60 minutes, without…
What is the diagnosis? A nearly pathognomonic ECG.
A 50 year old woman complained of shortness of breath, but on closer questioning she seems to be weak. An ECG was recorded…
ST elevation (Saddleback), is it STEMI?
This 56 year old male presented with atypical chest pain and left arm numbness off and on for one week, worse on the day of presentation:…