K. Wang Video: The Rhythm Strip Tells the Whole Story
As always, thanks to Scott Joing for his great video recordings (and his web site that hosts this blog: www.hqmeded.com) And thanks to K. Wang…
Excellent Review Article on ST Depression and T-wave Inversion
This article, available as full text, summarizes many of the key points I’ve been making for the lifetime of this blog:…
A Tough ECG, But Learn From It!
I have to tell this story from my point of view because I don’t want anyone to think that the recognition of LAD occlusion was made in…
37 yo with 1.5 hours of burning chest pain
A 37 year old with a history of DM on metformin complained of acute onset of burning chest pain. He called 911. They did an ECG but it…
Formula to differentiate Normal Variant ST Elevation (Early Repolarization) from Anterior STEMI
Here is a link to the full text of the article in Annals of EM It is critical to use it only when the differential is subtle LAD occlusion vs.…
A Tragic Case, related to the last post
5-10 years ago, a male in his 70’s presented with weakness. There was no chest pain. Here is his initial ECG: There is…
Hyperkalemia and ST Segment Elevation, Post 1
Case 1. A male in his 60’s presented with weakness. Here is his initial ECG. He had no chest pain: Probable junctional…
K. Wang Video: the Atrial Repolarization Wave (Ta Wave)
Ta Wave (Atrial Repolarization Wave) from HQMedEd on Vimeo. Here is an example of the atrial repolarization wave mimicking ST depression
4 mm of ST elevation in lead V2 (at the J-point) relative to PQ junction
A male in his 30’s male complained of chest pain while having a dental procedure, then became syncopal. The patient is young…
Activate the Cath Lab?
This 52 year old African American male presented with chest pain that was not clearly typical. Here is his ED ECG: There is ST elevation…