Middle Aged Male with Burning Chest Pain — Assess the Entire Clinical Scenario
A middle-aged male presented with “burning” mid chest pain, with radiation to bilateral shoulders (pain radiating to both shoulder is…
A Very Wide Complex Tachycardia. What is the Rhythm? Use Lewis Leads!!
A patient with a history of severely reduced left ventricular function, renal insufficiency and atrial fibrillation presented with slight…
Poor Microvascular Reperfusion (“No Reflow”): Best Diagnosed by ECG
A previously healthy woman about 50 years old with no previous medical history or coronary risk factors presented 30 minutes after the sudden…
A Very Wide Complex
What do you think of this ECG from a critically ill patient? See Below I can only give minimal information in order to protect identity: this…
Massive ST Elevation After V Fib Arrest, Discordant Bedside Echo Results
A woman in her 40’s was brought the ED (not by ambulance) for what is believed to be a seizure. She was reportedly very anxious…
ST Elevation in Lead aVR, with diffuse ST depression, does not represent left main occlusion
There are many publications stating that ST elevation in lead aVR, with diffuse ST depression elsewhere, is due to left main (LM) occlusion.…
Look at the PVCs (again)!!
An elderly woman awoke with bilateral upper chest pressure and SOB. She called 911. Here is the first prehospital ECG: Sinus…
LBBB on Cardiac Ultrasound: do not be fooled into diagnosing a wall motion abnormality!
The last case on the blog of LBBB with very high voltage was actually first identified as LBBB by ED bedside echo, which was done PRIOR to the…
Is there excessively discordant ST Elevation in this ECG with Left Bundle Branch Block?
A patient complained of atypical chest pain and cough. Here is his ECG: There is sinus tachycardia at a rate of 120 with LBBB. By…
Syncope and Bradycardia
An elderly woman had syncope while having a bowel movement. She had an aortic stenosis murmur. Here is her ECG: Computer only read…