Normal ECG by many measures. Is it normal?
This was submitted by Hans Helseth, who is applying to med school and who is working as an EKG tech right now. Smith: This patient…
A 50-something man with Chest pain at triage
A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam:…
Online QTc Calculator for normal and wide QRS (LBBB, RBBB, etc.)
Online QTc Calculator for Normal and Wide QRS (as may be seen with LBBB, RBBB or IVCD ) There are 2 parts to this QTc Calculator. You should…
One of those ECGs you need to instantly recognize, which learners may struggle with at first
Written by Pendell Meyers An adult man presented with acute chest pain. He appeared critically ill. He had undergone stenting of the LAD…
Syncope, chest pain, and inferior ST Elevation with Reciprocal ST depression in aVL
A 26 year old male presented with syncope and chest pain. Syncope was sudden and without prodrome, and resulted in head trauma with a…
Is it important to try to determine the culprit vessel based on ECG?
Written by Willy Frick A man in his 60s with hypertension and prior stroke presented with three days of crushing chest pain. He reported…
Torsade in a patient with left bundle branch block: is there a long QT? (And: Left Bundle Pacing).
By Smith with comments from our electrophysiologist, Rehan Karim. (And of course Ken’s comments at the bottom) An elderly obese…
OMI? Subendocardial ischemia? Does it matter in this clinical context?
Written by Pendell Meyers A woman in her 70s with known prior coronary artery disease experienced acute chest pain and shortness of…
Dizziness in a 40-something with recent stent for inferior OMI
Dizziness is so unlikely to be OMI without an obvious ECG, that I am going to pretend that this patient presented with chest pain. The…