Chest pain and Bradycardia
An elderly male complained of chest pain. He had no previous cardiac history and was only on aspirin, a statin, and a proton pump…
A 20-something with palpitations and dizziness. What action will you take?
I have posted on this topic before, but whenever I think that readers completely understand it, I find there are still many who do not. …
Pseudo Type II Second Degree AV Block Induced by Concealed Premature Junctional Complexes (PJCs) (contributed by K. Wang)
This patient is running on a treadmill: Figure 1. There are frequent apparently non-conducted p-waves. The PR interval is not…
Instructions for using subtleSTEMI iPhone app
Some have asked for instructions in using the app: 1. The warning states that it should only be used when the…
K. Wang Video: Aortic Dissection? STEMI? Both? (5 minute video)
This is a fine short summary of the topic. One disclaimer: At the end of the talk, K. states that ST segment depression in lead I in inferior…
Diffuse ST elevation and Chest pain in an Agitated Middle-aged male: Anterior STEMI or Takotsubo Stress Cardiomyopathy?
A male in his 40’s was discharged from the ED after evaluation for chronic back pain. He was denied opiate medication and was very…
Chest Pain in a 61 year old male. Inferior STEMI without inferior ST elevation.
This 61 year old has a h/o CABG 20 years prior. Onset of chest pain 1 hour prior to calling 911. Here is the prehospital ECG:…
Right Bundle Branch Block with Biphasic Wave in lead V2?
A middle-age alcoholic presents with weakness and vague abdomimal discomfort. The patient’s previous ECG was from 4 years prior…