Spontaneous Reperfusion and Re-occlusion – My Bad Thinking Contributes to a Death
This is a case I had about a decade ago. This is a 51 year old who was playing cards with his friends when he started to have left hand…
Reciprocal (Negative) Hyperacute T-waves. What is the Diagnosis?
I was shown this ECG and asked if I think it is a STEMI. What do you think? Answer Below I answered that it does not meet any criteria…
Gunshot wound to the chest with ST Elevation
A 32 year old presented with a gunshot wound that seems to have entered the anterior chest with a downward trajectory, traversing…
Crushing Chest pain, but the ECG is not obvious; later there is both RBBB and LBBB
A 63 year old male presented with crushing chest pain. Prehospital BP was 70, but higher in the ED. Here is the initial ECG at 1033 PM:…
Hyperacute T-waves that one might attribute to hyperkalemia and acidosis
A 32 yo type I diabetic woman presented with chest pain, nausea, vomiting and diffuse abdominal pain. She was in DKA with an anion…
Subtle ECG, seen well in PVC’s, and 2 arteries are involved.
An elderly female with h/o HTN presented with chest pressure. She awoke with bilateral upper sternal chest pressure and…
Paced Rhythm with Dynamic ST segments and Concordant T-waves – High Risk ACS
A 77 yo woman with h/o pacer for unknown reasons (no medical records available) and no h/o coronary disease presented with 24 hours of…
A Child with Blunt Trauma
A 6 yo girl had significant trauma from an MVC, with head injury (initial GCS 10, but no intracranial bleeding) and mild orthopedic…
Electrical Alternans? From Archives of Internal Medicine.
Here is a nice case from Archives of Internal Medicine. Surprisingly, one can read it without a subscription. For the ECG, page…
pdf full text of article on early repol vs. anterior STEMI
This article is now in print in July annals. Smith SW et al. Electrocardiographic Differentiation of Early Repolarization From Subtle…