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…
This is really good Prehospital, ED, and Cardiology care. Inferior de Winter’s T-waves.
A 50-something y.o. male with history of previous acute MI and stent was shoveling snow. Shortly thereafter he had the onset of…
De Winter’s T-waves are Not a Stable ECG condition. Upright T-waves in Posterior OMI are Distinct from de Winter’s waves.
This was just published in JAMA Internal Medicine: The de Winter Electrocardiogram Pattern Evolving From Hyperacute T Waves It reminded me…
A woman in her 60s with chest pain and prominent J waves
Case submitted by Dan Singer MD and Ryan Barnicle MD, Written by Pendell Meyers A woman in her 60s with history of smoking presented to the ED…
Bizarre T-wave inversions, with Negative U-waves and Very long QT. And a myocardial viability study.
This 60-something year old male was admitted and his hospital course complicated by GI bleed, hemodynamic instability, and a nadir hemoglobin…
Anterior STEMI Evolves to de Winter’s T-waves
A middle-aged man called EMS for chest pain. This prehospital ECG was recorded: Obvious Anterior STEMI due to proximal LAD occlusion (with STE…
Large T-waves and a Computer Interpretation of ***Acute MI***
This ECG was texted to me with no information: I answered: “Show me the whole 12-lead.” Here it is: Computer Interpretation: SINUS…
Chest pressure during exertion, evolution of inverted T-waves and Troponins. Surprise Angiogram.
I was texted this ED ECG with the words: “40-something with chest pressure during exertion.” It is unclear whether the pain…
RBBB and inverted hyperacute T-wave in V3. Do not let negative posterior leads dissuade you!
An elderly male with history of MI 10 years prior called 911 for chest pain. Here is the prehospital ECG: What do you think? Computer only…
Is this ECG diagnostic of coronary occlusion? Also: Inferior de Winter’s T-waves on prehospital ECG??
This post was written by one of our fantastic Hennepin County Medical Center Emergency Medicine interns who is an ECG whiz, Daniel Lee. A man…