Chest Pain and Ischemic ST Depression — but there is no Cath Lab available. Thrombolytics?
=================================== MY Comment by KEN GRAUER, MD (7/14/2020): =================================== This middle-aged…
A young woman in her early 20s with syncope
Written by Pendell Meyers A 20 year old female with an episode of syncope was triage to my low acuity zone one morning. Her vitals were within…
Chest pain and Inferior T-wave Inversion. Does this patient need emergent cath lab activation?
This ECG was texted to me, initially with no information: What do you think? There are QS-waves in III and aVF. There is a qR in lead…
An Very Elderly Male with Epigastric pain, “ischemic ECG” and Interesting Imaging.
A very elderly male presented with epigastric pain on and off for 36 hours. His exam was unremarkable. Here is his ED ECG: There appears to be…
Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated.
This ECG was done in a middle aged woman who was in a motor vehicle collision in which her vehicle “T-boned” another, so there was…
This patient has a severe electrolyte abnormality. Can you tell what it is? (Not hypokalemia)
This patient has a severe electrolyte abnormality. Can you tell from the ECG what it is? IMPRESSION by computer and physician overread:…
Repost: 63 minutes of ventricular fibrillation, followed by shock. What is going on?
This was published back on Sept 19, 2014 and I came across it again. It is very instructive, so I am reposting today. A…
Intermittent QRS Widening Without Any History
=================================== MY Comment by KEN GRAUER, MD (6/25/2020): =================================== I’ve labeled the…
Diffuse T-wave inversions and a very long QT
This ECG was texted to me and I read it while mountain biking. My response was “takotsubo”. ECG 1 There are diffuse T-wave…
A 60-something has chest tightness, palpitations, and ST depression V1-V3
A 60-something has chest tightness, palpitations. Charts showed a history of some mitral regurgitation and an enlarge left atrium, as…