Hypotension, altered mental status, and aVR sign – activate the cath lab?
Written by Lucas Goss MD, peer reviewed by Pendell Meyers, Alex Bracey, Stephen Smith An 81 year-old female with PMHx of ESRD on…
See many morphologies of non-ischemic ECGs from the same patient
I was reading ECGs on the system when I saw this one (ECG-1): What do you think? My read was “ST Elevation that is NOT…
What is this rhythm? Is there AV block?
Case written and submitted by Elzada Sercus M.D., peer reviewed by Pendell Meyers, Steve Smith, and Ken Grauer A 31-year-old female with a…
Which Modified Sgarbossa Rule does this meet? And what is the Rhythm?
A reader sent this ECG and asked “Steve, can this be hyperK?” He sent no clinical information. What do you think? My answer:…
A child with biphasic T waves in V1-V2
Case submitted by Dr. Mike Runyon, written by Meyers, Grauer, and Smith A child between the ages of 5 and 10 was brought in by parents…
Chest pain and ST Elevation.
A 42 year old presented with chest pain. Here is his triage ECG: What do you think? ‘This is a classic pattern of ST…
A 64 year old man with chest tightness
Submitted and written by Kaley El-Arab MD Peer reviewed by Pendell Meyers, Alex Bracey, Stephen Smith A 64-year-old male with past…
This ECG Pattern Told the Story When the Patient Could Not
Submitted by Spencer Lord MD, written by Alex Bracey with edits by Meyers and Smith A patient presents as a transfer from an outside…
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
This is a case from many years ago that I discovered recently. The patient has heart failure as a result of this event. A 50-something…
Neck and Jaw Pain in a patient with a Pacemaker. Sgarbossa Negative. But How about the Modified Sgarbossa Criteria?
I was at home on a late Saturday evening when this first ED ECG was texted to me: Atrial and Right Ventricular Paced Rhythm (most pacing is RV…