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…
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…
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…
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,…
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”…
Two cases of ST Elevation with Terminal T-wave Inversion – do either, neither, or both need reperfusion?
Written by Pendell Meyers with edits by Steve Smith I was sent these 2 ECGs with no clinical information other than chest pain: Do either or…
The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock
A 60-something presented with hypotension, bradycardia, chest pain and back pain. She had a h/o aortic aneurysm, aortic insufficiency,…
Saddleback ST Elevation. Is it STEMI? Is it type II Brugada?
A 50-something presented with epigastric and chest pain. Here is his ECG: What do you think? QTc 388 ms. Computer interpretation: SINUS…
Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.
Written by Pendell Meyers with edits by Steve Smith A male in his 60s presented with off and on shortness of breath and chest pressure over…
Large T-waves and a Computer Interpretation of ***Acute MI***
This ECG was texted to me with no information: I answered: “Show me the whole 12-lead.” Here it is: Computer Interpretation: SINUS…