Inferior Hyperacute T-waves
This is a 58 year old male with 40 minutes of chest pain of acute onset. He called 911 and paramedics recorded a prehospital 12 lead ECG which…
Persistent ST elevation after previous MI, otherwise known as “LV aneurysm” morphology
Case 1. Classic anterior LV aneurysm morphology (Persistent ST elevation after previous MI). This 46 yo male presented with chest pain. There…
The computer is often wrong
For more on computer misses, click here: This is the prehospital ECG of a 37 year old male with chest pain. It is obviously an acute STEMI,…
Acute anterior STEMI from LAD occlusion, or Benign Early Repolarization (BER)???
For another fascinating related ECG, click here: Acute MI from LAD occlusion, or early repolarization? Case: This is a 46 yo male…
ST elevation on prehospital ECG is gone upon arrival to the ED
This is a 55 yo male with chest pain. The medics recorded the first ECG, which shows unequivocal ST elevation in leads V4-V6. Our medics have…
Atrial fibrillation with rapid ventricular response with ECG injury pattern
This elderly woman presented hypotensive, pale, and tachycardic. Here is the initial ECG. There is an irregularly irregular rhythm…
Right BBB and Bigeminy, with Anterior STEMI
This is from a 53 year old male smoker with chest pain. Here is the initial EKG: There is grouped beating, in couplets. Both complexes in each…
Pure (Isolated) Posterior STEMI — not so rare, but often ignored!
Click here for more cases of posterior MI, and more explanation Case 1. This is a 44 yo male with h/o HTN, CABG at age 34, and 2 drug eluting…
Circumflex Occlusion May be Subtle or Invisible on the ECG
Case 1 Below are 2 cases of circumflex or obtuse marginal (branch of circumflex) occlusions showing how subtle they may be: A 52 y.o. male…
Right Bundle Branch Block with Acute ST Elevation Seen Best on Prehospital ECG
This patient is 38 years old with hyperlipidemia. He was at the gym when he had the onset of chest pain. EMS was activated and recorded the…