Pre-existing Left Bundle Branch Block and Atrial Fib: what is alarming on this routine pre-procedure ECG?
An elderly patient had a pre-procedure ECG (ECG-1). She was asymptomatic. The patient had known Left Bundle Branch Block (LBBB)…
Anterior STEMI Evolves to de Winter’s T-waves
A middle-aged man called EMS for chest pain. This prehospital ECG was recorded: Obvious Anterior STEMI due to proximal LAD occlusion (with STE…
Inferolateral STEMI: is there right ventricular MI also?
A middle-aged patient called 911 for 1 hour of chest pain. He was hemodynamically stable. Here is the prehospital ECG: Obvious inferior MI,…
What will you do for this altered and bradycardic patient?
Written by Pendell Meyers A female in her 60s with COPD, DM, hypothyroidism, CAD, and severe bladder cancer presented from a nursing home with…
The Interventionalist Refuses Angiography, and even to speak to the Emergency Physician
A recent residency graduate, let’s call her “The Graduate” or “TG,” texted me these ECGs from somewhere far away…
A patient with chest pain and dynamic ST elevation
Written by Pendell Meyers A female in her late 40s presented with chest pain, waxing and waning over the past 24 hours. Her history included…
One of the Great Books of Emergency Medicine Just Published: Extraordinary Cases in Emergency Medicine
Doug Brunette is one of the finest Emergency Physicians, if not the finest, whom I have ever known. He was one of the early Hennepin…
I saw this computer “normal” ECG in a stack of ECGs I was reading
While I had a few moments, I was reading a series of consecutive ECGs recorded in the ED. I came across this one: The computer read was:…
The VERDICT Trial
Written by Pendell Meyers, with edits by Steve Smith The VERDICT trial was recently published. This is yet another study looking at the…
What is the diagnosis?
I was reading a stack of ECGs when I came across this one: What do you think? I immediately saw that this ECG is DIAGNOSTIC of…