A man in his 40s who really needs you to understand his ECG
Written by Pendell Meyers A man in his 40s presented for “left sided chest pain sudden onset yesterday when sneezing and coughing…
A man in his 40s with RUQ abdominal pain
Submitted and written by Lucas Goss MD, edits by Meyers and Smith A man in his 40’s with only past medical history of tobacco use presented…
RBBB and LAFB: Is there a “concordance” of the ST segment in inferior leads? Is the ST depression in V3 due to RBBB only?
This ECG was texted to me. I later received this clinical history: The patient in his 60s with h/o COPD had presented with 2…
A woman in her 60s with palpitations
Case sent by Magnus Nossen MD, edits by Meyers A previously healthy woman in her 60s presented to an outpatient clinic for palpitations.…
Chest pain, a ‘normal’ ECG, a ‘normal trop’, and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.
Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest…
What do you think when you see ST elevation or ST depression on the monitor? (A lesson on High Pass filtering from Christopher Watford)
This has an explanation from Christopher Watford, who is not only a paramedic with amazing EKG skills, but a math and computer wizard. …
What is this ST Elevation?
This patient was sent to the ED because of a potassium of 6.1 mEq/L and some acute renal insufficiency. He had an ECG recorded: This was…
A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis “NSTEMI”. This happens far too often.
Submitted by Anonymous MD, edits by Meyers A man in his 60s with past medical history of multiple sclerosis and hypertension was brought in by…
A man in his 50s with acute chest pain and history of prior MI
Written by Pendell Meyers A man in his 50s with prior history of anterior MI with LAD stent presented with acute chest pain similar but more…
RBBB with STE in I and aVL. Will the angiogram tell you if this ECG represents Occlusion MI or not?
A middle aged male with history of STEMI and stents presented with one hour of chest pain. Here is his ED ECG: What do you think? Analysis:…