A patient with abdominal pain associated with alcohol withdrawal and alcoholic ketoacidosis
While at work, one my partners showed me this ECG of a 50-something woman with abdominal pain associated with alcohol withdrawal and alcoholic…
A 32 year old woman with chest pain has a prehospital ECG
A 32 year old woman with chest pain has a prehospital ECG: What do you think? Is it really “due to ventricular hypertrophy,” as…
A Clinical Scenario to Recognize- Irregular WCT
=================================== MY Comment by KEN GRAUER, MD (3/12/2020): =================================== A young adult…
Does ST Elevation in lead aVR indicate acute coronary occlusion?
A paper out last January shows what I’ve been saying for years, that ST Elevation in aVR, with diffuse ST depression, is NOT a sign of…
New Onset Heart Failure and Frequent Prolonged SVT. What is it? Management?
This middle-aged man with no cardiac history but with significant history of methamphetamin and alcohol use presented with chest pain and SOB,…
A 40-something with chest pain. Is this inferior MI?
This was sent by a Saleh Hatem, an avid reader of the blog. The patient presented with chest pain: ECG #1: There is a narrow complex…
A man in his 60s with chest pain. Could you have prevented his cardiac arrest?
Written by Pendell Meyers A man in his 60s with HTN and AF presented with chest pain that started about 1 hour ago and started to subside…
Are these Wellens’ waves?
An ECG was texted to me (Smith) without any clinical information: What did I say? My answer: “This is classic for PE, but it can also be…
70 year old woman with non-exertional non-radiating chest discomfort
This was sent by a reader: “I would really appreciate your thoughts on this ekg progression. 71 yo F, only risk factor hyperlipidemia,…
What are these wide complexes? If unclear by explanation, the laddergram helps to understand.
An 18 y.o. female who presented for chest pain. Patient reports productive cough and headache x 4 days. She notes persistent sternal chest…