Another Shark Fin. With a twist.
I was reading stacks of ECGs for a study, without any clinical information. I came across this one and immediately recognized it and knew the…
Guess the culprit with ST Elevation in posterior leads
A middle aged man had off and on chest pain for 2 weeks, then 2 hours of more severe and constant pain. Here was his ED ECG, which was…
A quick and easy, but interesting, case: why 3 different QRS morphologies?
One of my residents who is very smart sent me this ECG. Patient had “nonspecific chest symptoms worried she had pneumonia. She does not…
Why doesn’t the name “OMI” say anything about the ECG, in contrast to STEMI? Because sometimes the ECG isn’t always enough, no matter who interprets it.
Written by Pendell Meyers A man in his 60s with history of prior CAD with PCI, HTN, HLD, and aortic insufficiency presented with acute chest…
60-something with wide complex tachycardia: from where does the rhythm originate?
An elderly woman with history of coronary disease presented with CP and SOB and hypotension by EMS. EMS had attempted adenosine x 2…
A man in his 60s with chest pain. The ST segments and T waves are ALWAYS interpreted in the context of their QRS.
Written by Pendell Meyers A man in his 60s with history of CAD, CABG, HTN, DM, and smoking presented with chest pain,and shortness of breath…
PVCs and AV Block in a Young Adult?
=================================== MY Comment by KEN GRAUER, MD (4/9/2020): =================================== The patient is a…
A man in his 30s with chest pain
Written by Pendell Meyers, case submitted by Tom Fiero A man in his 30s walked into the ED complaining of chest pain. His triage ECG was done…
A patient with abdominal pain associated with alcohol withdrawal and alcoholic ketoacidosis
While at work, one my partners showed me this ECG of a 50-something woman with abdominal pain associated with alcohol withdrawal and alcoholic…
A 32 year old woman with chest pain has a prehospital ECG
A 32 year old woman with chest pain has a prehospital ECG: What do you think? Is it really “due to ventricular hypertrophy,” as…