A Patient With a Biventricular Pacemaker Presenting With Chest Pain
This is a paper authored by Brooks Walsh (a brilliant ECG enthusiast and emergency physician at Yale), with a little help from me and our…
The Effect of Calcium on Severe Hyperkalemia
This patient had a K of 8.1 mEq/L and a very low ionized Calcium of 2.4 mg/dl (normal: 4.4 – 5.2). Both were from a blood sample drawn…
A Very Subtle LAD Occlusion….T-wave in V1??
This was sent by a former resident. Our residents get a 34 hour ECG course from me over their 3 years, and they often see things I…
From Scott Weingart EMCrit Interview: Who needs the Cath Lab now??
Who Needs the Cath Lab/Cards Consult? Thanks to Scott Weingart of EMCrit for amassing all the indications in one place and interviewing me on…
Left Bundle Branch Block with Subacute STEMI
An elderly woman with no prior known cardiac history presented with approxiately 9 hours of chest pain, much improved by arrival and…
Is this Type 2 Brugada syndrome/ECG pattern?
Introduction Types 2 and 3 Brugada have been merged into Type 2. The diagnoses have been perplexing for years because they have been…
A Male in his 50’s with epigastric pain
This was sent by a recent residency graduate who works at a hospital without a cath lab. As you might imagine, our graduates have…
Chest Pain, LVH with Incomplete LBBB, and ST Elevation
A middle aged male with history of bicuspid aortic valve and aortic stenosis complained of 30 minutes of chest pain and dyspnea. He…
Paced rhythm. Is there Ischemic ST elevation?
An elderly male with a dual chamber pacemaker and severe dilated non-ischemic cardiomyopathy presented with dyspnea. He had not had an…
Chest Pain: What do you see on the ECG?
I saw this ECG, knowing only that there was a chief complaint of chest pain: What do you see? I thought: “This looks like it could be an…