How much ST depression in V2 and V3 is acceptable before you suspect ischemia?
A 60-something woman with h/o bioprosthetic MV replacement and COPD, who is not on anticoagulants (bioprosthetic valves generally do not…
Pancreatitis with Bizarre T-wave inversions and a normal echo. Is it takotsubo?
I was shown this ECG and told that the patient is suffering from another bout of chronic pancreatitis. I was told there was no chest…
Computer says “normal,” troponin undetectable.
This was written by @BrooksWalsh, with one comment by Smith A middle-aged guy comes in with chest pain. No known cardiac disease, and he’s…
Hypotension, altered mental status, and aVR sign – activate the cath lab?
Written by Lucas Goss MD, peer reviewed by Pendell Meyers, Alex Bracey, Stephen Smith An 81 year-old female with PMHx of ESRD on…
See many morphologies of non-ischemic ECGs from the same patient
I was reading ECGs on the system when I saw this one (ECG-1): What do you think? My read was “ST Elevation that is NOT…
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…