Inferolateral ST elevation might be pericarditis, but not with Reciprocal ST depression in aVL
This 47 yo male with 2 risk factors had onset of substernal CP while watching TV and smoking a cigarette. It felt “sharp” as if…
Inferior ST depression in ACS is reciprocal to ST elevation in aVL
For this topic, see also this post: https://drsmithsecgblog.com/2009/01/st-depression-limited-to-inferior-leads.html This 72 yo male with h/o…
Beware crescendo angina in patient with known CAD
A 73 yo f with hx of CAD (CABG x 2), DM, HTN, hyperlipidemia and known previous LAD occlusion, presented to the ED at t=0 with chest pain,…
Cardiac Arrest, from Ventricular Fibrillation.
The computerized QTc is 472, but the actual QTc is well over 600 ms. The T-waves are almost like a sine wave, and there are very prominent…
Atypical Left Bundle Branch with acute RCA occlusion
This 70 year old woman with a history of left bundle branch block presented with 10 hours of dyspnea. Notice there is QRS widening with a wide…
Note to Readers
Dear Readers: I only post, on average, 2-3 times per month. However, I encourage you to read old posts. There are now 46 over the last 18…
21 yo F with Syncope has Right Ventricular Hypertrophy and Pulmonary Hypertension
This 21 yo otherwise healthy woman, with a history of one episode of syncope 3 months prior, had onset of SOB, chest tightness, and epigastric…
Progression of Anterior STEMI with RBBB and cardiogenic shock
Unfortunately, the blogging software fails if I try to embed the EKGs in the text where they belong. Therefore, all EKGs will be at the…
Anterior T wave inversion due to Pulmonary Embolism
A 32 year old male presented with a 4 day history of dyspnea, cough, palpitations, and chest pain. He had an ECG done immediately (shown…
Very Subtle Inferior STE elevation seen only on 2nd ECG done 42 minutes later; Non STEMI with RCA occlusion
I’m having difficulty with the blogger software. It won’t let me place the ECG where I want it, so just know that the top ECG is…