Chest Pain and RBBB. What do you think?
An elderly woman presented with 25 minutes of chest pain after working out. This ECG was texted to me and I viewed it on my phone hurriedly…
A Computer “Normal” ECG. What is the diagnosis?
I posted this one on October 9, but it was buried in a discussion of a paper on triage ECGs: Another Inadequate Paper Published on Triage…
Was the intern correct?
Written by Pendell Meyers, case submitted by Max Macbarb, edits by Steve Smith A 71 year old gentleman with history of CAD and PCI presented…
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
This patient called 911 for chest pain. The medics did an amazing job of recording serial ECGs. Time zero Hyperacute T-wave and subtle…
Two cases texted to me for concern of inferior hyperacute T waves and a flipped T in aVL – do either, neither, or both need emergent reperfusion?
Written by Pendell Meyers I received two texts recently, in both cases the practitioners were worried about possible inferior hyperacute…
Extreme Bradycardia: a Case-Based Lesson in Pacing
I tell the residents: “The pacemaker is just common sense: if there is no beat, it provides one; if there is one, it keeps itself from…
10th Anniversary of Dr. Smith’s ECG Blog: First Post was November 7, 2008
This was the first post 10 years ago today: ST depression: is it ischemia? No, hypokalemia. A bit of history: K. Wang formerly sent out a…
A young man with back spasms
Written by Pendell Meyers with edits by Steve Smith First see this ECG without clinical context: What do you see? Do you agree with the…
Chest Pain and Q-waves in V1 and V2. Is there previous septal MI?
A middle-aged woman presented with chest pain. She had no history of cardiac disease. She had this presenting ECG: There are Q-waves in…
Timing of revascularization in patients with transient STEMI: a randomized clinical trial
European Heart Journal, ehy651, https://doi.org/10.1093/eurheartj/ehy651 Published: 26 October 2018…