Inferior ST Elevation. BP 250/140.
This 50-something patient with no previous CAD complained of havinng had chest pressure the day prior, but stated she was asymptomatic at the…
9 Hours of Chest Pain and Deep Q-waves: Is it too late for Thrombolytics? (Time Window for Reperfusion; Acuteness on the ECG)
A 50 year old hypertensive presented with 9 hours of central crushing chest pain. BP was 250/120, and after placement on an IV nitroglycerine…
Left Bundle with Convex ST Segment: Where is the J-point?
On July 26, I posted a similar problem, but in that case, the huge ST elevation was proportional. Here is another case in which it may…
A Very Fast Regular Narrow Complex, Followed by an Equally Fast Regular Wide Complex
This case was sent to me by for analysis by Scott Flannagan in Australia. I am by no means a rhythm master like Dr. K. Wang, but I think…
Does this single lead show a wide complex tachycardia?
A woman in her 50’s had a v fib arrest and required defibrillation 10 times before resuscitation to an organized rhythm. Here was the…
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…