Back pain radiating to the chest in a man in his 40’s
A man in his 40’s presented with severe back pain radiating to the chest. Here was his ECG, with pain: What is your diagnosis?…
Is this ACS? Look at the previous ECG!!
Don’t forget: Dr. Smith’s ECG Blog will be live online at 1:30 PM Central Time on Thursday, Nov. 29. Video will be broadcast…
Transient Inferior OMI, with RV OMI, missed. It became obvious on a near fatal stress test.
A middle-aged woman with a history of hypertension presented with typical chest pain. Her BP was 160/80. Here was her presenting…
Pericarditis, or Anterior STEMI? The QRS proves it.
A young otherwise healthy man presented with 4 hours of sharp 10/10 substernal chest pain. It has been constant since then. He…
Spontaneous Reperfusion and Re-occlusion – My Bad Thinking Contributes to a Death
This is a case I had about a decade ago. This is a 51 year old who was playing cards with his friends when he started to have left hand…
Subtle ECG, seen well in PVC’s, and 2 arteries are involved.
An elderly female with h/o HTN presented with chest pressure. She awoke with bilateral upper sternal chest pressure and…
Is This a Simple Right Bundle Branch Block?
A 72 year old male presented in shock. Here is his initial ECG: There is a wide complex at 194 ms, with RBBB. Anything else? Here is his…
Repost: what is the diagnosis?
I’m reposting an edited version of this post from June 2009. This is a 46 yo male with acute onset of chest pain, in distress, who…
Anterior ST elevation with large broad T-wave: what is the diagnosis?
A 41 year old male presented to a clinic with chest pain. Here is the ECG: There are very large, scary T-waves, with significant ST…
Left ventricular Aneurysm Morphology Distorted by Right Bundle Branch Block, Mimicking Acute STEMI with RBBB
This is a complex case that I have reprinted from my article in the EMRA publication, EM Resident, with their permission. I’m…