Wide Complex Tachycardia. What is the Diagnosis?
A man in his 40’s with a h/o coronary disease complained of sudden dizziness and chest pain. Medics found him with a high pulse,…
ST depression, pulmonary edema, and severe hypertension: is this demand ischemia or acute coronary syndrome?
This middle-aged patient has a history of CVA and hypertension. He presented with a two hour onset of pulmonary edema and chest…
Is this ACS? Look at the previous ECG!!
Don’t forget: Dr. Smith’s ECG Blog will be live online at 1:30 PM Central Time on Thursday, Nov. 29. Video will be broadcast…
Man in his 70’s with presyncope. Some interesting data on troponins included.
Announcement: On Thursday, November 29 at 1:30 PM Central Time, there will be a live broadcast of the ECG Blog. We will have a Skype…
Looks like a Posterior STEMI. Is it?
An elderly woman was found down near her bed, confused but awake. She was on coumadin for atrial fibrillation. Other…
A Man in his 20’s with Syncope. What is diagnosis? And what does the old ECG show?
A young man presented after a syncopal episode. He felt fine in the ED. He had no previous cardiac history, but stated that he…
Transient Inferior OMI, with RV OMI, missed. It became obvious on a near fatal stress test.
A middle-aged woman with a history of hypertension presented with typical chest pain. Her BP was 160/80. Here was her presenting…
Hyperkalemia in the setting of Left Bundle Branch Block
I’m sorry, but there was an error in the previous post and I had to remove it. Depending on information received, I may be able to…
Chronic Right Ventricular Hypertrophy, or Acute Right Heart Strain? The ECG Helps Make the Diagnosis.
A middle-aged, obese, non English speaking man presented as a walk-in with SOB and leg swelling. His O2 saturations were 59% on room…
Three Cases of Unstable Angina
Unstable angina consists of anginal symptoms but without a diagnostic rise and/or fall of troponin with one level above the 99% reference…