Cardiac arrest, severe acidosis, and a bizarre ECG
A middle aged male had an unwitnessed PEA arrest associated with cocaine use. Whether there was a shockable rhythm prior to PEA is…
Wellens’ waves are NOT equivalent to Wellens’ syndrome: Pseudo-Wellens’ due to LVH and HTN
A 20 year old male with end stage renal disease (ESRD) and hypertension presented with 1 hour of chest pain (“cramps”). He was…
Persistent Juvenile T-wave Pattern
This article is written by Brooks Walsh, MD, an emergency physician, as well as Steve Smith, and with help from Ken Grauer, who is quite…
A Young Woman with A Wide Complex Regular Tachycardia.
A woman in her early 30s with no past medical history presented with palpitations. She had no chest pain, SOB, shock, hypotension.…
Irregularly irregular supraventricular very fast rhythm: what is it?
A young woman presented to the ED with a complaint unrelated to any cardiac condition. The pulse was fast. The physican noted it was…
A woman in her 20s with syncope
A young woman had what sounded like vasovagal syncope. This ECG was recorded: There is incomplete RBBB (QRS = 110 ms). There is…
All this teaching makes a difference! And a new paper on subtle ST Elevation.
One of my residency grads sent this. A male in his 50’s with h/o CAD presented with 2 days stuttering chest pain (also with nausea,…
Very Fast Very Wide Complex Tachycardia
A male in his 60’s called 911 for dizziness and chest pain, onset with exertion. He was pale and diaphoretic (in shock) with a…
Chest pain relieved by Maalox and viscous lidocaine
An otherwise health male in his early 40’s presented with “burning” in his epigastrium that radiated to his throat and was…
Beware confusing the diagnosis of posterior STEMI by using posterior leads…
Or at least understand their limitations!! This patient had chest pain and this ECG: There is no significant ST elevation. But there is…