ST depression limited to Inferior leads is reciprocal to high lateral wall and represents STEMI
When there is inferior ST depression, one is tempted to diagnose “inferior ischemia”. However (paradoxically and mysteriously)…
If there is high suspicion for ischemia, do serial EKGs and pay attention to them!
Case 1) This is the initial EKG of a 60 yo male with a couple days of stuttering chest pain. He is pain free at the time of the EKG at 2100.…
Acute MI from LAD occlusion, or early repolarization?
3 hours of chest pain. Is it STEMI or is it normal (or early repolarization)? Read Answer Below This ECG looks quite normal, with only…
Two cases of ST depression
NSTEMI with subtle ST depression. EKG from 11-12. Symptoms on 11-12 were also subtle, but present for 5 days, so if a single troponin was…
ST elevation MI in the setting of a paced rhythm
ST elevation MI in the setting of a paced rhythm from hqmeded.com on Vimeo.
t wave inversion
t wave inversion from hqmeded.com on Vimeo.
Is this Wellens’ syndrome??? No! It is old MI with persistent ST elevation (LV aneurysm morphology)
This 53 year old man presented with increasingly frequent episodes of chest pain, the longest lasting for 10 minutes. He was from Africa and…
LV aneurysm (persistent ST elevation after previous MI) in the setting of RBBB
65 yo male with recent rule out presents with unrelated complaint but also states he is SOB. What are the worrisome EKG findings, and what is…
Classic LV aneurysm (persistent ST elevation after previous MI)
70 yo with h/o MI, recent CABG, has acute onset of chest pain. What are the worrisome EKG findings, and what is the differential diagnosis?…
ST depression: is it ischemia? No, hypokalemia.
This patient presented with alcohol intoxication and possible overdose. No ischemic symptoms. Rate 71 PR 224 QRSD 90 QT 424 QTc 461 There is…