Serial ECGs highly suspicious for inferior OMI: Give thrombolytics prior to transfer for PCI?
One of my former residents texted this info to me with the EKGs: “I have here a 50 something-year-old female with multiple stents who…
A very fast wide complex tachycardia
A 60-something patient presented by EMS with non-specific symptoms. He had a very rapid rhythm that was not converted by 6 mg, then 12…
50-something with STEMI and hypotension: What is the infarct artery?
A 50-something woman presented with chest pain, midsternal, 9/10. Her BP was 93/58, pulse 110. Here is her ECG: What is the infarct…
A man in his sixties with chest pain
Written by Pendell Meyers A man in his sixties with no prior history of CAD presented with fluctuating central chest pain that started the…
A Different Kind of Wide Rhythm — Pleomorphic VT?
====================================== MY Comment, by KEN GRAUER, MD (6/1/2020 — Updated for WordPress on 2/1/2026 ): YOU are…
A Young Woman with Regular Narrow Complex Tachy at both 160 and 240
A young woman presented with palpitations, chest pressure, SOB and weakness. She had a rapid rate and BP of 140 systolic. She was in no…
A middle-aged male with chest pain
A 40-something male presented with chest pressure. Here is his triage ECG: What do you think? The triage physician suspected that this was a…
What do you think of this elderly man with “possible seizure”?
Written by Pendell Meyers (with really great and thorough explanation of this finding by Ken Grauer). At my hospital, patients with any…
A 50ish Man whose Wide Tachycardia was Treated
=================================== MY Comment by KEN GRAUER, MD (5/22/2020): =================================== The ECG…
1 hour of CPR, then ECMO circulation, then successful defibrillation….
An elderly woman had sudden ventricular fibrillation. She was unable to be defibrillated but was cannulated and placed on ECMO in our…