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…
Deep and widespread ST depression signifies high risk coronary lesion
This 51 yo male presented with Chest pain. There is ST depression, greater than 3 mm in some leads, in I-III, aVF, and V3-V6. aVR also has ST…
Right Bundle Branch Block with Subtle ST Elevation: LAD 95% occluded
An 81 yo woman presented at 2 AM to the ED with severe substernal chest pressure. This ECG was recorded: There is sinus rhythm with a PVC, and…
Diabetic Ketoacidosis: is there hypokalemia?
This patient presented with diabetic ketoacidosis. The physicians were reluctant to start insulin until they knew that the potassium was not…
Very subtle anterior OMI, TIMI II flow with thrombus
This 48 yo male with no previous MI had a cardiac arrest while playing raquetball. Is there ischemia? Is there occlusion (which is the reason…