Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
A middle aged male presented after onset, approximately 50 minutes prior, of constant crushing 10/10 substernal chest pain, radiating into…
Shark fin post arrest: do you understand the ECG?
Case submitted by Dr. Daryl Williams, written by Pendell Meyers, peer reviewed by Smith and Bracey A physician bystander witnessed a…
A woman in her 60s with syncope and vomiting. Does she need a pacemaker?
Written by Pendell Meyers with some edits by Steve Smith A woman in her 60s on chemotherapy presented to the Emergency Department for a…
New Review: Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms
New Review, full text: Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms
Toothache, incidental Wide Complex Tachycardia
I was recently reading through the list of ECGs, and came across this one: What do you think? This was the interpretation I put into the…
Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case!
We just today published this very important article in the Journal of the American Heart Association: Ischemic ST‐Segment Depression Maximal…
A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is!
This young woman presented with recurrent anxiety attacks with chest pain and dyspnea. She was otherwise healthy except for history of…
With all those Q-waves, this can’t be acute OMI, right?
Author’s note: This post is guest-written by Brooks Walsh, an emergency physician with an interest in emergency electrocardiology and…
Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor (“PEA arrest”)
An elderly woman was witnessed to collapse. 911 was called and when EMS arrived, she was unresponsive with shallow respirations, a GCS…
Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat?
A 50-something male ran a 10 mile race, after which he complained of a headache. The next day, he collapsed and had a witnessed seizure.…