Coved ST elevation with reciprocal ST depression: what is the diagnosis?
This 82 year old presents with atypical chest pain: There is slow atrial fibrillation and a slightly wide QRS (109 ms), with high voltage in…
“Inferior” ST depression: What is the diagnosis?
This 58 year old man presented at noon with chest pain that began the previous evening and became constant less than one hour prior. Now…
ST segment depression: what is the etiology?
This 86 year old woman had syncope. There is no chest pain or SOB. She is uncertain of her past medical history. There is atrial…
Why is this patient weak?
35 year old presents with diffuse weakness. Answer is below: There are very large U-waves best seen in precordial leads V2-V5. …
Dyspnea, resp failure, DNR/DNI, what to do?
79 yo patient with no known previous history of MI and a history of severe dementia presented with acute dyspnea, pulmonary edema, BP 110/70…
Cath lab activated. What do you think? (#2)
This 45 year old male called 911 for increasing SOB and CP over 2 weeks. His BP was 220/150. The medics did a prehospital ECG,…
Cath lab activated. What do you think?
This is a 47 year old African American man with substernal and right sided chest pain, worse with inspiration. EMS was called. Prehospital EKG…
Marked ST depression refractory to maximal medical therapy
This 62 year old man, heavy smoker, with no previous medical history, presented after 2.5 hours of substernal chest pressure. He…
Repost: Quiz: Is it LAD occlusion or benign early repolarization?
I posted this back in 2009. I was perusing old posts and had not seen this for a while.…
ST elevation in aVR, with widespread ST depression
This case and ECG was already posted here: https://drsmithsecgblog.com/2010/01/deep-and-widespread-st-depression.html However, because of a…