What is this rhythm? Is there AV block?
Case written and submitted by Elzada Sercus M.D., peer reviewed by Pendell Meyers, Steve Smith, and Ken Grauer A 31-year-old female with a…
Which Modified Sgarbossa Rule does this meet? And what is the Rhythm?
A reader sent this ECG and asked “Steve, can this be hyperK?” He sent no clinical information. What do you think? My answer:…
A child with biphasic T waves in V1-V2
Case submitted by Dr. Mike Runyon, written by Meyers, Grauer, and Smith A child between the ages of 5 and 10 was brought in by parents…
Chest pain and ST Elevation.
A 42 year old presented with chest pain. Here is his triage ECG: What do you think? ‘This is a classic pattern of ST…
A 64 year old man with chest tightness
Submitted and written by Kaley El-Arab MD Peer reviewed by Pendell Meyers, Alex Bracey, Stephen Smith A 64-year-old male with past…
This ECG Pattern Told the Story When the Patient Could Not
Submitted by Spencer Lord MD, written by Alex Bracey with edits by Meyers and Smith A patient presents as a transfer from an outside…
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
This is a case from many years ago that I discovered recently. The patient has heart failure as a result of this event. A 50-something…
Neck and Jaw Pain in a patient with a Pacemaker. Sgarbossa Negative. But How about the Modified Sgarbossa Criteria?
I was at home on a late Saturday evening when this first ED ECG was texted to me: Atrial and Right Ventricular Paced Rhythm (most pacing is RV…
Acute Chest pain. All P-waves are not conducting. Is it OMI?
A 50-something male complained of acute onset chest discomfort about 30 minutes PTA while at rest with radiation described as numbness to the…
LBBB: Using the (Smith) Modified Sgarbossa Criteria would have saved this man’s life
Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo…