Profound ST Elevation in V1-V3. What do you think?
This ECG comes from Pierre Taboulet (http://www.e-cardiogram.com/)(https://www.facebook.com/ECG.taboulet) an ECG whiz who codes a lot of ECGs…
Intermittent increasing exertional chest pain and serial negative troponins
I was shown this ECG at triage, recorded on a patient with a chief complaint of chest pain, where I was working: What do you think? My…
A woman in her 70s with chest pain
Written by Alex Bracey, with edits by Pendell Meyers and Steve Smith The Case: A woman in her 70s who does not routinely seek medical care and…
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,…