Comatose after opiate overdose, with tachycardia and hypotension
I was texted this ECG with the info that a female patient in her 20s was found down with probable opiate overdose: What do you think? Here was…
A 50-something woman with chest pain and 2 “normal” ECGs at triage
A 50-something woman with history of DM and HTN presented with one hour of chest tightness. I was screening all patients at triage and…
Posterolateral OMI resulting in VT, then R-on-T phenomenon and VF
Submitted by Arjun Iyer, Written by Pendell Meyers A male in his 50s with no known medical history presented for chest pain and shortness of…
New Article published online: In inferior myocardial infarction, neither ST elevation in lead V1 nor ST depression in lead I are reliable findings for the diagnosis of right ventricular infarction
Bischof, JE. Worrall C. Smith SW. In inferior myocardial infarction, neither ST elevation in lead V1 nor ST depression…
An Ischemic ECG and Bedside Echo shows diffuse dysfunction but with Apical Sparing
An approximately 40 y.o. male was in jail when he reported dyspnea. He was brought to a small local ED where a chest x-ray showed…
A Tale of 2 Occlusions in the Same Patient: one with Expert ECG interpretation, the Other Without
Submitted by Nic Thompson, Written by Pendell Meyers, edits by Steve Smith This is a long post, but well worth the read because it clearly…
Total eclipse of the heart
Written by Pendell Meyers A male in his late 50s had sudden chest pain radiating to the left side and back, with nausea and diaphoresis as…
“Unstable Angina still exists”, even in the Age of High Sensitivity Troponin
This case comes from a long term blog reader from Norway. Case: 49 y.o male. No previous medical hx. 15-20 pack year smoking history.…
A Simplified Formula Discriminating Subtle Anterior Wall Myocardial Infarction from Normal Variant ST-Segment Elevation
Dr. Emre Aslanger has published a simpler formula for differentiating electrocardiographically subtle LAD occlusion from normal variant ST…
A Middle-Aged Man with Blunt Trauma and Hemopericardium
A Middle-Aged man had a single vehicle motor vehicle collision with significant energy. He was hypotensive upon arrival. A bedside ultrasound…