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…
A man in his 50s with chest pain and shortness of breath
Submitted by Ali Khan MD, written by Pendell Meyers A man in his early 50s presented with exertional chest pain and dyspnea. He had family…
When the ECG is more revealing than the HPI
Written by Alex Bracey with edits from Pendell Meyers and Steve Smith A woman in her 60s presented to the ED as a referral from an…
A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days
Written by Pendell Meyers with edits by Steve Smith Bystanders called EMS for a man in his 50s “not acting right.” Medics found a…
Why is there ST Elevation in lead V2? Think Lead Placement.
I was shown this ECG of a 40-something intoxicated male with altered mental status. The provider was very worried about LAD…
Atrial Fibrillation w Rapid Ventricular Response and ST Depression Maximal V1-V4: Not always subendocardial.
A patient presented a few years ago with chest pain, but also cough, low grade fever, and malaise. She had one prehospital saturation at…