Uncategorized Archives - Page 52 of 184

1 Min Read

onNovember 18, 2021

New Review: Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms

New Review, full text: Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms

16 Min Read

Steve Smith

onNovember 17, 2021

Toothache, incidental Wide Complex Tachycardia

I was recently reading through the list of ECGs, and came across this one: What do you think? This was the interpretation I put into the…

2 Min Read

Steve Smith

onNovember 15, 2021

Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case!

We just today published this very important article in the Journal of the American Heart Association: Ischemic ST‐Segment Depression Maximal…

2 Min Read

Steve Smith

onNovember 12, 2021

A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is!

This young woman presented with recurrent anxiety attacks with chest pain and dyspnea. She was otherwise healthy except for history of…

Brooks Walsh

onNovember 10, 2021

With all those Q-waves, this can’t be acute OMI, right?

Author’s note: This post is guest-written by Brooks Walsh, an emergency physician with an interest in emergency electrocardiology and…

2 Min Read

Steve Smith

onNovember 8, 2021

Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor (“PEA arrest”)

An elderly woman was witnessed to collapse. 911 was called and when EMS arrived, she was unresponsive with shallow respirations, a GCS…

3 Min Read

Steve Smith

onNovember 6, 2021

Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat?

A 50-something male ran a 10 mile race, after which he complained of a headache. The next day, he collapsed and had a witnessed seizure.…

8 Min Read

Pendell Meyers

onNovember 4, 2021

PEA cardiac arrest, ROSC, and no STEMI on ECG. Randomized trials say emergent reperfusion is not indicated, right?

Submitted and written by Dr. Bobby Nicholson, with peer review by Meyers and Bracey and major edits by Smith 84 yo F with hx of CAD presents…

1 Min Read

Steve Smith

onNovember 1, 2021

What are these bizarre bigeminal PVCs??

Case 1 This ECG was texted to me last week with the question: “What is this??” What do you think? My answer: “This is a…

3 Min Read

Pendell Meyers

onOctober 29, 2021

A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits

Submitted and written by Emergency Physician Dr. Arjun J V, with some minimal edits by Smith and Meyers A man in his 30s was rushed into our…

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Uncategorized

New Review: Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms

Toothache, incidental Wide Complex Tachycardia

Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case!

A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is!

With all those Q-waves, this can’t be acute OMI, right?

Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor (“PEA arrest”)

Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat?

PEA cardiac arrest, ROSC, and no STEMI on ECG. Randomized trials say emergent reperfusion is not indicated, right?

What are these bizarre bigeminal PVCs??

A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits