A Middle-Aged male with Chest Pain and an Unusual ECG
This ECG was sent from South Asia. The patient presented with chest pain. Here is the ECG: What do you think? I frankly did not know what to…
Doctor, should we activate the hospital’s “STEMI alert”?
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our…
Regular, steady, and fast at 170 (wide or narrow?), hypoxic, crackles in lungs, B-lines, unconscious
A 60-something who lives in a nursing home was found unconscious and hypoxic. EMS was called and their monitor showed an “SVT” at…
What do you think about this Left Bundle Branch Block?
I was reading through a stack of ECGs and saw this one: The Veritas computer algorithm called it Left Bundle Branch Block without ischemia.…
Is this terminal QRS distortion? Is there LVH?
This ECG of a patient was sent to me with the question, “Just LVH, no?” What do you think? First, is there Terminal QRS…
Can you see through this paced rhythm?
Written by Pendell Meyers An elderly female with known CAD and multiple stents, pacemaker, stroke, and COPD presented with 2 hours of…
What is this tachycardia that alternates from wide to narrow to wide?
This is 50-something who presented after a seizure and was unconscious and tachycardic: There is a wide complex, followed by a narrow complex,…
A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal)
A former resident sent this. He asked: “Hey Steve, Wanted to get your thoughts on this EKG:” What do you think? The computer…
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay.
Written by Pendell Meyers An elderly woman presented with acute onset chest pain and shortness of breath. EMS showed us their ECG on arrival…
A Young Man with Sharp Chest pain
Suppose this patient had chest pain. What would you diagnose? What is the diagnosis? OK. I lied, just so you could assess your…