Posterior Leads Fail to Diagnose Posterior STEMI
For more cases of posterior MI: https://drsmithsecgblog.com/search/label/posterior%20STEMI A 54 year old male with recent angiogram that…
Pure (Isolated) Posterior STEMI — not so rare, but often ignored!
Click here for more cases of posterior MI, and more explanation Case 1. This is a 44 yo male with h/o HTN, CABG at age 34, and 2 drug eluting…
Wide Complex Tachycardia, intermittent
This was sent by a former resident, John Dunbar: “Had this one the other day. 60s, no medical history but didn’t go to the doctor. Had a…
Inferior ST Elevation and Hyperacute T-waves, but Patient is Pain Free. What is going on?
A 60-something female presented with episodes of chest pain for the previous 2 days that lasted 20 to 30 minutes each. On the day of…
The Electrocardiographically Silent Circumflex Artery
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Epigastric Abdominal Pain and Vomiting
No details important to the diagnosis are left out, but the details are intentionally vague to preserve anonymity. The details need not be…
Inferior ST Elevation. BP 250/140.
This 50-something patient with no previous CAD complained of havinng had chest pressure the day prior, but stated she was asymptomatic at the…
Series of Prehospital ECGs Showing Reperfusion
Medics recorded this ECG at time 0 in a patient with chest pain: There are inferior hyperacute T-waves, with reciprocally inverted hyperacute…
Missed Acute MI, with coronary occlusion, evidence only by T-wave inversion in V2 and evolving ST depression in V3
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Pseudonormalization of Inferior T-waves
In a few days I will post a twist on pseudonormalization, but wanted to first post this classic case. This 49 year old male presented after an…