Chest Pain and Cardiogenic Shock with Profound ST Depression & STE in aVR. Activate the Cath Lab?
A middle-aged woman with known severe coronary disease had onset of substernal chest pain while at dialysis. 911 was called. A…
Paper published: Terminal QRS distortion not found in any ECG of Early Repolarization
This ECG comes from a 30-something with chest pain. Is it early repolarization? Or is it LAD occlusion? The paper below…
Biphasic T-waves in a Middle-Aged Male with Vomiting
One of our residents texted me this ECG and was worried about Wellens’ waves. A middle-aged male presented with vomiting. Here was…
Respiratory Symptoms and ST Elevation with Hyperacute T-waves
An elderly woman was brought to the ED for hypoxia. She had a history of chronic respiratory failure with a tracheostomy and had had…
I saw this on the computer. Most physicians, at first glance, get this wrong. What is it?
I was reading ECGs on the system, and saw this: I immediately recognized it like I recognize a friend’s face. (OK, I’m…
An apparent SVT that does not persistently correct with adenosine
A middle-aged woman presented for abdominal pain. She was found to have a heart rate of 150. A 12-lead was recorded: There is a…
Is this STEMI? LVH? Early Repolarization?
This 60-something with diabetes presented with abdominal pain, nausea, and vomiting. We all know that diabetics with acute MI may present like…
RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?
This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently, and edited by Smith A very healthy 40 year-old…
Anaphylaxis and ST Elevation
This was written by one of our excellent 2nd year residents, Nathan Ansbaugh, with some editing and commentary by Smith. An otherwise healthy…
Sepsis with Pulmonary Edema and Elevated Right Sided Pressures
I was reading from our list of unconfirmed ED ultrasounds and saw a cardiac ultrasound with good LV function, but with B-lines of pulmonary…