A young woman with chest pain, cath lab activated
This case came from a friend whose sister was the patient. She knew I was interested in ECGs, so she took a photo of this one. A young woman…
Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia
An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they…
What happened after the Cath lab was activated for a chest pain patient with this ECG?
Sent by anonymous, written by Pendell Meyers I received a text with this image and no other information: What do you think? I simply texted…
Wide Complex Tachycardia — VT, SVT, or A Fib with RVR? If SVT, is it AVNRT or AVRT?
A 69 y.o. male with pertinent past medical history including Atrial fibrillation, atrial flutter, cardiomyopathy, Pulmonary…
A man in his 50s with shortness of breath
Sent by Tom Fiero, written by Pendell Meyers A man in his 50s presented with acute shortness of breath. Unfortunately we do not have…
Palpitations and presyncope in a 40-something
Written by Magnus Nossen The below ECG is from a 40 something male with no past relevant medical hx. The patient contacted EMS due to sudden…
A 50-something with chest pain. Is there OMI? And what is the rhythm?
Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the…
An 80 year old woman with Left Bundle Branch Block (LBBB) and pleuritic chest pain
This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System. The patient presented to an outside hospital…
Why is the angiogram normal?
Written by Willy Frick A man in his 50s with a 15 pack-year smoking history presented to his primary care physician’s office complaining…
Three patients with chest pain and “normal” ECGs: which had OMI? Which were normal? And how did the Queen of Hearts perform?
Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and…