Noisy, low amplitude ECG in a patient with chest pain
Written by Colin Jenkins. Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong…
Orthostatic hypotension onset after invasive procedure?
Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted…
A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?
This was written by Magnus Nossen from Norway The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement.…
What do you suspect from this ECG in this 40-something with SOB and Chest pain?
I was reviewing ECGs for a study, and came across this one, and was able to get all the clinical information: What do you think? The Queen…
Can you spot the problem with the recording of this 12-lead ECG?
Written by Willy Frick I was reading ECGs in the queue, and the following tracing appeared. I frequently check the chart if I want to know…
Three normal high sensitivity troponins over 4 hours with a “normal ECG”
Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of “chest…
EMS told “Not a STEMI”. What do you think?
Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital…
Physical Examination as a Helpful Aid in Decision-Making in Challenging ECGs
This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. @AslangerE A 65-year-old gentleman presented to the…
50-year old with chest pain, “no ischemic changes”
Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to…