Left Bundle Branch Block, Severe Chest pain, Previous Normal Angio. What is going on?
A middle-aged woman with idiopathic cardiomyopathy and biventricular failure, with previous EF of 15%, presented with sudden onset severe…
Chest pain, Ventricular Paced Rhythm, and a Completely Normal Angiogram 3 Months Prior.
One of our graduates, Rochelle Zarzar, who is now an education fellow, sent me this from one of the hospitals she works at now: An elderly…
Weakness, head trauma, and an abnormal ECG
Written by Pendell Meyers, with edits by Steve Smith A man in his 50s with history of CAD s/p CABG, CHF, and COPD presented after several…
RBBB and inverted hyperacute T-wave in V3. Do not let negative posterior leads dissuade you!
An elderly male with history of MI 10 years prior called 911 for chest pain. Here is the prehospital ECG: What do you think? Computer only…
ST Depression and T-wave Inversions after ROSC from Resp and Cardiac Arrest after Head Trauma
This patient had a head injury and was unconscious. He was found without respirations or pulse. Prehospital CPR resulted in…
A middle aged man with ST depression and a narrow window of opportunity
Written by Pendell Meyers I received a text at 18:13 of an ECG taken several minutes prior, with no clinical information and only the question…
A young man with lightheadedness and bradycardia, and an impatient AV node.
A healthy 20 y.o. man presented with lightheadedness. There are great comments I’ve now posted at the bottom from Ken…
Palpitations of unusual etiology
Written by Pendell Meyers, with edits by Steve Smith A male in his 60s with history of HTN and previous complaint of palpitations but with a…
Is There a Delayed Activation Wave???
This 50-something otherwise healthy male presented with one hour of epigastric and lower chest pain. Here is his initial ECG: What do you…
Look at these “T”-waves
An alcoholic presented with confusion. He had this ECG recorded: What do you think? Computer measures the QT at 505 ms, and QTc at 533…