Prolonged Chest Pain. Is this LV aneurysm or acute anterior STEMI? Acuteness of STEMI and viable myocardium.
This patient had no significant past medical history. He presented with chest pain of 48 hours duration which became worse in the…
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…