Uncategorized Archives - Page 91 of 187

8 Min Read

onJanuary 2, 2019

15 yo AAM with ST Elevation and T-wave Inversion. Hypertrophic Cardiomyopathy or Normal (“Variant”)?

Is this normal or hypertrophic cardiomyopathy (HOCM)? The mother of a 15 yo African American male brought her son to the clinic for a sports…

5 Min Read

Pendell Meyers

onDecember 29, 2018

Is this ST elevation normal or abnormal?

Written by Pendell Meyers A male in his 50s with history of HTN, DM, HLD presented with chest pain of less than one hour duration. Here is his…

6 Min Read

Steve Smith

onDecember 27, 2018

Profound ST Elevation in V1-V3. What do you think?

This ECG comes from Pierre Taboulet (http://www.e-cardiogram.com/)(https://www.facebook.com/ECG.taboulet) an ECG whiz who codes a lot of ECGs…

6 Min Read

Steve Smith

onDecember 24, 2018

Intermittent increasing exertional chest pain and serial negative troponins

I was shown this ECG at triage, recorded on a patient with a chief complaint of chest pain, where I was working: What do you think? My…

5 Min Read

Pendell Meyers

onDecember 20, 2018

A woman in her 70s with chest pain

Written by Alex Bracey, with edits by Pendell Meyers and Steve Smith The Case: A woman in her 70s who does not routinely seek medical care and…

6 Min Read

Brooks Walsh

onDecember 19, 2018

The computer calls this a “normal ECG”. We’ll just keep making this point.

This case was contributed by Brooks Walsh, an emergency physician in Connecticut. A middle-aged woman had an acute onset of chest pain and…

8 Min Read

Brooks Walsh

onDecember 16, 2018

Wide-complex tachycardia: VT, aberrant, or “other?”

Wide-complex tachycardia: VT or aberrant, or “other?” This case is contributed by Brooks Walsh, an EM physician and ECG expert…

5 Min Read

Steve Smith

onDecember 14, 2018

Dynamic, Reversible, Ischemic T-wave inversion mimics Wellens’. All trops negative.

A middle-aged man presented with 7-8/10 non-radiating chest tightness to the left chest wall, associated with nausea but no diaphoresis, that…

4 Min Read

Pendell Meyers

onDecember 12, 2018

Can you see through this wide complex rhythm?

Written by Pendell Meyers A 76 year old man with history of CHF, moderate aortic stenosis, insulin-dependent diabetes, hypertension, stroke,…

6 Min Read

Steve Smith

onDecember 11, 2018

Found comatose with prehospital ECG showing “bigeminal PVCs” and “Tachycardia at a rate of 156”

This patient with a history diabetes was found with a GCS of 4. Prehospital EKG and strips (not shown) had “heart rate 156”…

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Uncategorized

15 yo AAM with ST Elevation and T-wave Inversion. Hypertrophic Cardiomyopathy or Normal (“Variant”)?

Is this ST elevation normal or abnormal?

Profound ST Elevation in V1-V3. What do you think?

Intermittent increasing exertional chest pain and serial negative troponins

A woman in her 70s with chest pain

The computer calls this a “normal ECG”. We’ll just keep making this point.

Wide-complex tachycardia: VT, aberrant, or “other?”

Dynamic, Reversible, Ischemic T-wave inversion mimics Wellens’. All trops negative.

Can you see through this wide complex rhythm?

Found comatose with prehospital ECG showing “bigeminal PVCs” and “Tachycardia at a rate of 156”