“Shark fin” ECG in I, aVL, V4 and V5. Which artery? Hint: patient is in shock and was put on ECMO
This was contributed by Rohin Francis (Twitter: @MedCrisis), a cardiologist from England and FOAM enthusiast. Case A 55 year old lady…
ED Diagnosis of Acute Coronary Occlusion by Speckle Tracking (Strain Echocardiography)
We just published this case report, the full text of which you can read here. The ECG is diagnostic of coronary occlusion also, but many…
A Pathognomonic ECG
This was sent to me by Mauro Cassazza from Italy: What do you see? Analysis It is tempting to think that the waves before the QRS are large…
What, besides large anterior STEMI, is so ominous about this ECG?
This late middle-aged male had sudden onset of chest pressure. Here is the prehospital ECG: The rhythm is a bit hard to discern.…
A Middle-Aged Woman with 3 days of Chest pain and Posterolateral Injury on the ECG
A middle-aged woman called 911 for burning chest pain and dyspnea. Here is her prehospital ECG: There is clearly acute myocardial injury…
Chest Tightness and Asthma in a Young Man
A male in his 20’s presented with chest tightness and dyspnea. He had wheezing. An ECG was recorded: There is sinus…
One reason we get ECGs in stroke patients
This patient presented with a sudden right sided weakness and ophthalmoplegia that was resolving upon presentation to the ED. Here is his ED…
Initial Reperfusion T-waves, Followed by Pseudonormalization. Diagnosis?
A middle-aged woman had intermittent angina for 48 hours, then onset of constant, crushing chest pain for 1.5 hours when she called 911.…
A 30 year old with Chest Pain, Anterior ST Elevation, Terminal QRS distortion, and a High Troponin
This was contributed by Brooks Walsh, who has contributed many interesting cases and articles to this blog. I edited and added…
Chest pain in an Elderly Woman
This case was sent by one of our great FOAM colleagues, Salim Rezaie of REBEL EM!! “A 67 y/o female with PMH of Type 2 DM, HTN,…