New LBBB after Cardiac Arrest
An elderly man with a history of DM and renal failure had a complaint of back pain, and called 911. En route, he had a seizure, then…
Peer Reviewed Lecture: ECG Diagnosis of STEMI-equivalent in Left Bundle Branch Block (20 minutes)
This is a lecture for the journal Academic Emergency Medicine, which now publishes lectures that have been peer-reviewed. This is the second…
What is the Diagnosis?
A 60 yo woman presented with CP and troponin I of 0.85 ng/ml. There is RBBB, but without the usual rSR’ in right precordial…
Inferior Dynamic T-waves
A 51 yo healthy male had been lifting 5 lb. weights, then went to shower when, at 0800, he developed severe crushing 10/10 left sided chest…
RBBB with dynamic T-waves
56 y/o male who presented with 12/10 severe chest pain starting at 3AM, radiating to his upper back. He had a history of pulmonary…
Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis
This case was contributed by Vince DiGiulio. A 63 year old woman who was otherwise healthy had a syncopal episode. She had no CP, no SOB, but…
Early Repol vs. Anterior STEMI article published (online)!
Click here: Electrocardiographic Differentiation of Early Repolarization From Subtle Anterior ST-Segment Elevation Myocardial Infarction
Is This a Simple Right Bundle Branch Block?
A 72 year old male presented in shock. Here is his initial ECG: There is a wide complex at 194 ms, with RBBB. Anything else? Here is his…
Pseudonormalization of T-waves: STEMI
Here are other cases of pseudonormalization. A 61 y.o. female with no h/o coronary disease presented with 3 days of nausea, vomiting, 3-4…