Coronary occlusion need not have 1 mm ST elevation; often it does not
A 53 year old male with no previous cardiac history presented with sudden substernal chest pain with tingling of bilateral arms and dyspnea.…
Anterior pseudonormalization
A 68 year old male with no previous h/o MI presented after 2 weeks of exertional dyspnea. On the day of presentation, he was shoveling snow…
HyperKalemia with Cardiac Arrest. Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia
For more on hyperkalemia, click here (includes a great case of incessant ventricular tachycardia). For more on early repolarization, see these…
Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation
See 6 even better cases of T-wave pseudonormalization here. Here is another case. Do not miss this one: A Middle-Age Male with Chest…
Posterior ST Elevation MI in the Setting of Right Bundle Branch Block, with Posterior Leads V7-V9
This is a 68 year old man who had a resuscitated cardiac arrest. His prehospital ECG looks identical to this one which was recorded upon…
STEMI best seen in PVC
See this post for a wide complex that hides ischemic findings. See this post for a difficult diagnosis in the context of a wide complex. Case…
Probable Left Main coronary artery occlusion/obstruction, with STE in aVR, alternating BBB, and arrest
This 59 yo male had sudden chest and abdominal pain and dyspnea. He called 911. Paramedics found him in profound distress, stating “I…
Severe Right Ventricular Hypertrophy
This 23 year old presented to the Emergency Department with pharyngitis, but also complained of dyspnea on exertion. This ECG was recorded:…
Comment on Posterior STEMI
I had a very good question regarding the post on posterior STEMI, and I wanted to be sure that the answer gets attention: smallville…
Altered Mental Status, Tachycardia, Hypotension, Hyperglycemia, Ill appearing
This diabetic patient with the ECG below was brought in by medics confused, tachycardic, and hyperglycemic, Kussmauling. The computerized ECG…