How accurate are the Monitor leads for ST Elevation?
This was a healthy young man who did not have a cardiac issue, but was on the monitor: Lead MCL1, which is mid-precordial, is the bottom…
Diffuse ST depression, and ST elevation in aVR. Left main, right?
This ECG was recorded on a middle-aged male with sickle cell disease and diffuse pain. Sinus rhythm Left ventricular hypertrophy (LVH) Diffuse…
A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB).
A patient arrived after PEA arrest, with ROSC after intubation and chest compressions. Here is the initial 12-lead ECG: What is the…
Computer often fails to diagnose atrial fibrillation in ventricular paced rhythm, and that can be catastrophic
Case 1. An elderly patient presented with a massive hemiplegic ischemic stroke of 24 hours duration. CT stroke series showed a middle…
Chest pain and Convex ST Elevation in Precordial Leads
A 30-something y.o. male with PMH significant for anxiety, asthma, and alcohol use disorder presented with chest pain x 1 week. Patient…
How much time are you willing to wait for OMI to become STEMI (if it ever does)?
Written by Pendell Meyers, few edits by Smith A man in his 60s with history of stroke and hypertension but no known heart disease presented…
ST Depression and T-wave inversion in V2 and V3.
A middle aged male dialysis patient was found disorganized and paranoid. He had no chest pain or dyspnea. An ECG was recorded. The…
Right sided heart failure and tachycardia.
A middle-aged male presented with tachycardia, dyspnea, and 4+ bilateral leg edema. What is the rhythm? There had been an ice storm, and it…
Should Troponin be a Vital Sign? Perhaps, but only if Interpreted Using Pre-test Probability.
An 80-something non-english speaking patient complained of vertigo. He was asked multiple times about chest pain or dyspnea, but…
Chest pain and Diffuse ST depression, with STE in aVR. You probably think it is left main…..
A 75 year old woman complained of very atypical chest pain, lasting days, worse with movement and palpation. Here is her ECG (ECG-1): There is…