Uncategorized Archives - Page 59 of 187

4 Min Read

onJune 21, 2021

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…

6 Min Read

Steve Smith

onJune 17, 2021

Acute Chest pain. All P-waves are not conducting. Is it OMI?

A 50-something male complained of acute onset chest discomfort about 30 minutes PTA while at rest with radiation described as numbness to the…

5 Min Read

Pendell Meyers

onJune 11, 2021

LBBB: Using the (Smith) Modified Sgarbossa Criteria would have saved this man’s life

Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo…

3 Min Read

Pendell Meyers

onJune 6, 2021

A man in his 50s with chest pain and shortness of breath

Submitted by Ali Khan MD, written by Pendell Meyers A man in his early 50s presented with exertional chest pain and dyspnea. He had family…

3 Min Read

Alex Bracey

onMay 30, 2021

When the ECG is more revealing than the HPI

Written by Alex Bracey with edits from Pendell Meyers and Steve Smith A woman in her 60s presented to the ED as a referral from an…

4 Min Read

Pendell Meyers

onMay 30, 2021

A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days

Written by Pendell Meyers with edits by Steve Smith Bystanders called EMS for a man in his 50s “not acting right.” Medics found a…

2 Min Read

Steve Smith

onMay 27, 2021

Why is there ST Elevation in lead V2? Think Lead Placement.

I was shown this ECG of a 40-something intoxicated male with altered mental status. The provider was very worried about LAD…

5 Min Read

Steve Smith

onMay 25, 2021

Atrial Fibrillation w Rapid Ventricular Response and ST Depression Maximal V1-V4: Not always subendocardial.

A patient presented a few years ago with chest pain, but also cough, low grade fever, and malaise. She had one prehospital saturation at…

3 Min Read

Pendell Meyers

onMay 14, 2021

What are these ST elevations, ST depressions, and tall T waves diagnostic of?

Written by Pendell Meyers Let’s see this presentation ECG without any context first (no baseline ECG was available) What do you…

4 Min Read

Steve Smith

onMay 10, 2021

Typical Chest Pain: Would you activate the cath lab? Would you advocate if the interventionalist was not interested?

A 50-something woman complained of acute chest pain radiating to the left arm, onset while driving. It would briefly improve with NTG.…

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Uncategorized

Neck and Jaw Pain in a patient with a Pacemaker. Sgarbossa Negative. But How about the Modified Sgarbossa Criteria?

Acute Chest pain. All P-waves are not conducting. Is it OMI?

LBBB: Using the (Smith) Modified Sgarbossa Criteria would have saved this man’s life

A man in his 50s with chest pain and shortness of breath

When the ECG is more revealing than the HPI

A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days

Why is there ST Elevation in lead V2? Think Lead Placement.

Atrial Fibrillation w Rapid Ventricular Response and ST Depression Maximal V1-V4: Not always subendocardial.

What are these ST elevations, ST depressions, and tall T waves diagnostic of?

Typical Chest Pain: Would you activate the cath lab? Would you advocate if the interventionalist was not interested?