LVH with expected repolarization abnormalities, or acute OMI?
A patient with DM presented with acute chest pain. Here was his ED ECG: There is LVH in limb leads, with a 17 mm R-wave in aVL, and deep…
LVH with expected repolarization abnormalities, or acute OMI?
A patient with DM presented with acute chest pain. Here was his ED ECG: There is LVH in limb leads, with a 17 mm R-wave in aVL, and deep…
Potassium and Magnesium: how low is too low?
A 30-something woman with h/o HTN on losartan presented for vomiting, diarrhea, and cough for 2-3 days. K returned at 2.4 mEq/L…
Potassium and Magnesium: how low is too low?
A 30-something woman with h/o HTN on losartan presented for vomiting, diarrhea, and cough for 2-3 days. K returned at 2.4 mEq/L…
Acute chest pain in a patient with cardiomyopathy and a paced rhythm.
A 70-something with h/o cardiomyopathy, ICD, LVH was awoken with sharp chest pain, 8/10, non-radiating. It worsened through the…
A 50-something male with acute chest pain
A 50 y.o. male was sitting at a work conference when he began having substernal chest pain with diaphoresis. He had a history of…
What happens when you don’t recognize an OMI?
This was sent by an “avid reader.” The case was from his hospital, which does not have a cath lab. Case A 60-something male…
A Middle-Aged male with Chest Pain and an Unusual ECG
This ECG was sent from South Asia. The patient presented with chest pain. Here is the ECG: What do you think? I frankly did not know what to…
Doctor, should we activate the hospital’s “STEMI alert”?
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our…
Regular, steady, and fast at 170 (wide or narrow?), hypoxic, crackles in lungs, B-lines, unconscious
A 60-something who lives in a nursing home was found unconscious and hypoxic. EMS was called and their monitor showed an “SVT” at…