Beware crescendo angina in patient with known CAD
A 73 yo f with hx of CAD (CABG x 2), DM, HTN, hyperlipidemia and known previous LAD occlusion, presented to the ED at t=0 with chest pain,…
Cardiac Arrest, from Ventricular Fibrillation.
The computerized QTc is 472, but the actual QTc is well over 600 ms. The T-waves are almost like a sine wave, and there are very prominent…
Atypical Left Bundle Branch with acute RCA occlusion
This 70 year old woman with a history of left bundle branch block presented with 10 hours of dyspnea. Notice there is QRS widening with a wide…
Note to Readers
Dear Readers: I only post, on average, 2-3 times per month. However, I encourage you to read old posts. There are now 46 over the last 18…
21 yo F with Syncope has Right Ventricular Hypertrophy and Pulmonary Hypertension
This 21 yo otherwise healthy woman, with a history of one episode of syncope 3 months prior, had onset of SOB, chest tightness, and epigastric…
Progression of Anterior STEMI with RBBB and cardiogenic shock
Unfortunately, the blogging software fails if I try to embed the EKGs in the text where they belong. Therefore, all EKGs will be at the…
Anterior T wave inversion due to Pulmonary Embolism
A 32 year old male presented with a 4 day history of dyspnea, cough, palpitations, and chest pain. He had an ECG done immediately (shown…
Very Subtle Inferior STE elevation seen only on 2nd ECG done 42 minutes later; Non STEMI with RCA occlusion
I’m having difficulty with the blogger software. It won’t let me place the ECG where I want it, so just know that the top ECG is…
New Left Bundle Branch Block is a poor indicator of coronary occlusion
For a couple other very interesting posts on LBBB and STEMI, click here, and here and here for the most recent post. Case 1: A 55 yo male…
Computer algorithms are not sensitive for STEMI
This 29 year old presented in February 2010 after drinking with friends. He started vomiting, then had onset of chest pain and bilateral arm…