A 40-something woman with severe chest pain and ST Elevation
This 40-something woman presented with severe anterior chest pain. The prehospital ECG looked the same and the medics were worried about the…
Missing ECG signs of OMI is associated with early death
Written by Sean Trostel MD, with edits by Smith and Meyers A man in his 80s with history of CAD, MI s/p PCI, HTN, HLD, Afib, and HFrEF,…
A 40-something man with very elevated blood pressure and acute severe chest pain
This 40-something male whose only medical history was hypertension presented with acute chest pain. A 12-lead ECG was immediately recorded…
A comatose patient with a carbon monoxide level over 50%
A young man had an accidental exposure to carbon monoxide (CO). He was comatose and intubated and his initial Carboxyhemoglobin level…
A 40-something without past history presents with wide complex tachycardia and crushing chest pain
See Ken Grauer’s important and detailed ECG analysis at the bottom. Case A 40-something with no PMH presented with palpitations,…
A man in his 50s with “no reciprocal ST depression” and “diffuse” ST elevation. What does diffuse actually mean?
Written by Pendell Meyers EMS called in while I was on shift and asked me to review an ECG of a man in his 50s with acute chest pain and…
Occlusion/reperfusion through 6 ‘normal’ ECGs
This is written and contributed by Jesse McLaren (@ECGCases), with comments and edits by Smith, and commentary by Ken Grauer (@EKGPress) An 80…
Hypothermia at 18 Celsius in V Fib arrest: CPR, then ECMO rewarming, for 3 hours, then Defib with ROSC. Interpret the ECG.
A middle-aged man was found outside in the cold in full arrest in ventricular fibrillation. Chest compressions and ventilation were begun. On…
This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??
A 40 something otherwise healthy man presented with substernal chest pain. It had occurred once 3 days prior and resolved without any…
Subtle ECG Signs of OMI in LBBB
A 70 yo F with no previous cardiac history, but with a h/o hypertension, hyperlipidemia, and strong family history of ACS, presented with one…