Is it important to try to determine the culprit vessel based on ECG?
Written by Willy Frick A man in his 60s with hypertension and prior stroke presented with three days of crushing chest pain. He reported…
Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).
By Smith with comments from our electrophysiologist, Rehan Karim. (And of course Ken’s comments at the bottom) An elderly obese…
OMI? Subendocardial ischemia? Does it matter in this clinical context?
Written by Pendell Meyers A woman in her 70s with known prior coronary artery disease experienced acute chest pain and shortness of…
Dizziness in a 40-something with recent stent for inferior OMI
Dizziness is so unlikely to be OMI without an obvious ECG, that I am going to pretend that this patient presented with chest pain. The…
Tachycardia in cardiology clinic, what is the rhythm?
Submitted anonymously, written by Willy Frick A man in his 70s with a history of remote MI (details unavailable) and prior stent…
How comfortable are you with transcutaneous pacing?
Written by Willy Frick A woman in her 70s is hospitalized with undifferentiated shock after being found down at home. Her family had not…
See how the Queen of Hearts AI is continuously improving
Written by Willy Frick A man in his early 40s with BMI 36, hypertension, and a 30 pack-year smoking history presented with three days of…
Chest pain and rapid pacing followed by an unexplained wide complex tachycardia. Time for cardioversion?
Written by Willy Frick with edits by Ken Grauer An older man with a history of non-ischemic HFrEF s/p CRT and mild coronary artery disease…