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…
LVH and New ST-segment elevation: False Positive or True Positive STEMI?
A 72 year old man fell from standing and had head trauma. He was initially disoriented, but cleared. BP was 80/50…
Chest pain and ST-segment Elevation
This was provided by Casey Parker at Broome Docs Blog, with permission. A 23 year old presented with pleuritic left chest pain radiating to…
What is the Diagnosis?
This 65 year old woman presented in cardiogenic shock: Some will find this easy (if so, sorry!), but some might be confused. See below.…