What is the rhythm? Answer at the bottom.
An elderly woman presented with abdominal pain. Here is her ECG: This is easily mistaken for atrial flutter because the waves have a…
This is a quiz. The ECG is pathognomonic. Answer is at the bottom.
Hyperkalemia, with near sinusoidal pattern. Note very wide QRS, bizarre deep T-waves in V1 and V2, peaked T-waves in V4 and V5, long PR…
Reversible T-wave inversion — it reverses, then evolves, then reverses when ischemia is gone. Normalization of T-waves, NOT pseudonormalization.
A 62 yo male has had chest pain with exertion for 2 weeks. He began having chest pain at rest at 2AM, and presented at 7 AM. Here is his…
Pseudonormalization of Inferior T-waves
In a few days I will post a twist on pseudonormalization, but wanted to first post this classic case. This 49 year old male presented after an…
Bizarre T-wave inversion of Stokes Adams attack (syncope and complete AV block), with alternating RBBB and LBBB
This is a 68 yo male with a history of aortic stenosis, on carvedilol, fell from a ladder approx 20 ft onto concrete, landing face down with…
Altered Mental Status, possible ingestion. What does the ECG show?
A middle aged man was heard to be falling in his apartment. He was found very agitated, intermittently screaming (and on presentation…
Atrial Fibrillation with RVR and Inferoposterior ST elevation (Injury Pattern)
This is an old post from June 2009 that has not received much attention, but should. Take a look! This 80 yo woman had been increasingly…
Young man with syncope while riding a bike [Arrhythmogenic Right Ventricular Dysplasia (ARVD)]
This 31 yo who is otherwise healthy had sudden syncope while riding a bike. He remembers looking down, then becoming dizzy,…
A Southeast Asian with Tachycardia and Hypotension after taking a dangerous herbal medication (Bidirectional Ventricular Tachycardia from Aconite Poisoning)
I published this case in Annals of EM 6 years ago. I figure it’s ok to put it here now after all these years, especially since one…
Left Bundle Branch Block and Left Anterior Descending Artery occlusion: Serial ECGs then T-wave inversion after reperfusion
A 50 yo male presented with chest pain. This ECG was recorded at 0415. There is sinus tachycardia. There is left bundle branch…