An Very Elderly Male with Epigastric pain, “ischemic ECG” and Interesting Imaging.
A very elderly male presented with epigastric pain on and off for 36 hours. His exam was unremarkable. Here is his ED ECG: There appears to be…
Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated.
This ECG was done in a middle aged woman who was in a motor vehicle collision in which her vehicle “T-boned” another, so there was…
This patient has a severe electrolyte abnormality. Can you tell what it is? (Not hypokalemia)
This patient has a severe electrolyte abnormality. Can you tell from the ECG what it is? IMPRESSION by computer and physician overread:…
Repost: 63 minutes of ventricular fibrillation, followed by shock. What is going on?
This was published back on Sept 19, 2014 and I came across it again. It is very instructive, so I am reposting today. A…
Intermittent QRS Widening Without Any History
=================================== MY Comment by KEN GRAUER, MD (6/25/2020): =================================== I’ve labeled the…
Diffuse T-wave inversions and a very long QT
This ECG was texted to me and I read it while mountain biking. My response was “takotsubo”. ECG 1 There are diffuse T-wave…
Syncope and ST Elevation on the Prehospital ECG
A 75 yo with h/o CAD, CABG, and HFrEF presented after a syncopal episode. There was no prodrome and no associated symptoms such as SOB…
A 60-something has chest tightness, palpitations, and ST depression V1-V3
A 60-something has chest tightness, palpitations. Charts showed a history of some mitral regurgitation and an enlarge left atrium, as…
A man in his 60s with shockable arrest, then ROSC, and no STEMI – what will you do?
Case submitted by Allie Oberst and Ashley Mogul, edits by Pendell Meyers and Steve Smith A male in his late 60s with PMH of poorly controlled…
Drug Overdose with a Fascinating Arrhythmia
=================================== MY Comment by KEN GRAUER, MD (6/13/2020): =================================== Today’s case…