Exertional Chest pain and Near Syncope in a Young Adolescent
An adolescent female presented for increasing chest pain (sometime sharp, sometime like someone standing on her chest) and palpitations with…
Anterior ST elevation with large broad T-wave: what is the diagnosis?
A 41 year old male presented to a clinic with chest pain. Here is the ECG: There are very large, scary T-waves, with significant ST…
WPW mimicking and obscuring acute MI
This was inspired by an undergraduate named Harvey Pendell Meyers, who knows a heck of a lot about ECGs. How is that possible, as an…
Reciprocal ST depression in II, III, aVF. What is the diagnosis?
A colleague approached me with this ECG of a middle aged male with this ECG; my colleague was worried about acute ischemia. There was no…
Pseudo Right Ventricular MI
This most recent post will help you understand this post here: I was nordic skiing out in the wilds of the Upper Peninsula of Michigan when I…
Five Primary Patterns of Ischemic ST depression, without ST elevation. Some are STEMI-equivalents.
Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician.…
The LAD occlusion formula did not work here. Why?
I received this from a reader, who applied the LAD occlusion (anterior STEMI) formula. The patient presented with chest pain and…
Weakness and Bradycardia
A 70 yo man with a h/o DM, HTN, CAD, chronic renal insufficiency and recent NonSTEMI with pulmonary edema who is on carvedilol and amlodipine…
Chest pain in an 80 year old: What is the diagnosis?
An 80 year old male with h/o CABG presented with CP. Here is his initial ECG (which was identical to his prehospital ECG) at 1517: There…
Chest pain and hypotension in a patient who is 3 weeks post STEMI
A middle aged patient who was 3 weeks s/p STEMI came from cardiac rehab where he developed some chest pain, dyspnea and weakness on the…