Uncategorized Archives - Page 88 of 187

8 Min Read

onMarch 29, 2019

Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!

I was shown this ECG with no other information: What do you think? Hint: try to see through the artifact! I answered immediately: “High…

6 Min Read

Pendell Meyers

onMarch 26, 2019

An 80 year old man in VF arrest

An elderly man suffered out of hospital cardiac arrest. He was found in V Fib by EMS. He was shocked out of VF multiple times and arrived in…

3 Min Read

Steve Smith

onMarch 19, 2019

A Pathognomonic ECG. What is it?

This patient presented with weakness, decreased urine output, and vomiting: What is the ECG diagnosis? There is a very long QT (computer says…

6 Min Read

Steve Smith

onMarch 18, 2019

IVCD, Saddleback STE in III, with reciprocal STD in aVL: Is it pseudoOMI or OMI? Echo with Speckle Tracking gives the answer.

A 77 y.o. woman with a history of hypertension and congestive heart failure presented for acute onset chest pain and shortness of breath. She…

6 Min Read

Steve Smith

onMarch 13, 2019

What is this rhythm? And what else does it show?

This was sent to me by my friend Sam Ghali (@EM_RESUS), https://twitter.com/EM_RESUS, with no information. Sam frequently just sends ECG…

9 Min Read

Steve Smith

onMarch 11, 2019

A Patient with Respiratory Failure and a Computer “Normal” ECG

This ECG was presented in a conference. The patient had presented many times for SOB. On this occasion he was intubated for respiratory…

7 Min Read

Steve Smith

onMarch 8, 2019

Chest pain resolved, and a “Normal” ED ECG

A previously healthy middle-aged male presented shortly after the acute onset of chest pain very shortly before calling 911. On arrival, he…

13 Min Read

Pendell Meyers

onMarch 6, 2019

What will you do for this patient transferred to you who is now asymptomatic?

A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness…

5 Min Read

Steve Smith

onMarch 4, 2019

How accurate are the Monitor leads for ST Elevation?

This was a healthy young man who did not have a cardiac issue, but was on the monitor: Lead MCL1, which is mid-precordial, is the bottom…

8 Min Read

Steve Smith

onMarch 2, 2019

Diffuse ST depression, and ST elevation in aVR. Left main, right?

This ECG was recorded on a middle-aged male with sickle cell disease and diffuse pain. Sinus rhythm Left ventricular hypertrophy (LVH) Diffuse…

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Uncategorized

Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!

An 80 year old man in VF arrest

A Pathognomonic ECG. What is it?

IVCD, Saddleback STE in III, with reciprocal STD in aVL: Is it pseudoOMI or OMI? Echo with Speckle Tracking gives the answer.

What is this rhythm? And what else does it show?

A Patient with Respiratory Failure and a Computer “Normal” ECG

Chest pain resolved, and a “Normal” ED ECG

What will you do for this patient transferred to you who is now asymptomatic?

How accurate are the Monitor leads for ST Elevation?

Diffuse ST depression, and ST elevation in aVR. Left main, right?