Hyperacute T-waves, missed by computer, short DBT, but large myocardial infarction
This 57 yo male with no past medical history had sudden onset of chest pain while sleeping. He called 911 at midnight and his…
Anterior Hyperacute T-waves diagnostic of LAD Occlusion
This series of ECGs from a patient with LAD occlusion shows hyperacute T waves in precordial leads, as well as ST elevation in V1-V3 and aVL.…
HyperKalemia with Cardiac Arrest. Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia
For more on hyperkalemia, click here (includes a great case of incessant ventricular tachycardia). For more on early repolarization, see these…
Inferior Hyperacute T-waves
This is a 58 year old male with 40 minutes of chest pain of acute onset. He called 911 and paramedics recorded a prehospital 12 lead ECG which…
Reciprocally Inverted Hyperacute T-Wave. What is that?
Written by Robert Herman, MD, PhD with Edits by Stephen W Smith (with adaptation by Ken Grauer from the original…
Chest pain, resolved. Reperfusion T-waves. Should the patient go emergently to the cath lab?
Written by Emily Dawra, one of our superb EM G3 residents, with a few edits by Smith. Case: A patient presented to the emergency…
70-something with acute chest pain, Right Bundle Branch block, ST Elevation, and large T-waves
A 70-something with no cardiac history called 911 for acute chest pain. Here is the prehospital ECG: What do you think? There is right bundle…
What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?
Written by Magnus Nossen, with edits by Smith The patient in today’s case is a 70-year-old farmer. He has a history of coronary artery…
Hyperacute T wave or not: do any of these 4 ‘STEMI’ ECGs have Occlusion MI?
Written by Jesse McLaren, with edits from Meyers Four patients presented with chest pain or shortness of breath, and ECGs labeled…
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…