Pseudo High Lateral STEMI — How not to be deceived by ST elevation in aVL
This ECG was shown to me with no other information: My response was: this is normal variant ST elevation in I and aVL. …
Cardiac Arrest: To the cath lab with ongoing chest compressions
A male in his 20’s with no past medical history was found in cardiac arrest. He had been complaining of chest pain. Medics…
Prolonged chest pain and Intraventricular Conduction Delay similar to Left Bundle Branch Block
A 67 year old male with no previous cardiac history or risk factors woke up at midnight with right-sided chest pain. It was the “worst…
Is This a Simple Paced Rhythm?
A very complex patient presented critically ill. This was his initial ECG: There are pacer spikes. Is this a simple paced rhythm?…
Complaint of Weakness. Alert. Hemodynamically Stable. What is it?
A male in his 60’s, dialysis patient, complained of weakness. He was alert and had no SOB or Chest pain. BP was 85/57 with a…
ST Elevation and a Positive Troponin: Is it Myopericarditis or STEMI?
A 51 yo male smoker with no other CV risk factors and no previous heart disease presented to a hospital without PCI capability complaining of…
Dyspnea on Exertion and a Positive Troponin
A woman in her 50’s complained of dyspnea on exertion for two days. Her lungs were clear on exam. Her first troponin I…
Paroxysmal SVT (PSVT) that repeatedly recurs in spite of successful conversion with adenosine
An elderly male complained of dyspnea. His pulse was regular at just under 150. BP was 110/70. There was no evidence of…
45 year old with chest pain
A 45-year-old male was in his usual state of health until three hours prior to arrival, when he developed left-sided chest pressure with…