And now for something completely different (a very difficult electrophysiology case)
Written by Willy Frick “Two episodes of syncope in the past month. Only speaks French. No chest pain or shortness of breath.”…
Regular Wide Complex Tachycardia with poor LV function and hypotension. Duration unknown. How to manage?
An older patient with no previous medical history arrived at triage complaining of SOB. Her heart rate was very fast, so we obtained an…
A young woman with palpitations. What med is she on? With what medication is she non-compliant? What management?
Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with…
What does the ECG show in this patient with chest pain, hypotension, dyspnea, and hypoxemia?
Written by Pendell Meyers, with some edits by Smith A man in his 40s with many comorbidities presented to the ED with chest pain, hypotension,…
A woman in her 60s with large T-waves. Are they hyperacute, hyperkalemic, or something else?
Case written by Brandon Friedman M.D., edits by Meyers A woman in her 60s with a history of chronic atrial fibrillation on Eliquis, ESRD…
A wide complex tachycardia
Submitted by Van Wall M.D., Written by Pendell Meyers Let’s go back to the basics for a common and classic scenario. A middle-aged…
A 50 year old man with sudden altered mental status and inferior STE. Would you give lytics? Yes, but not because of the ECG!
Submitted by Alex Bracey, written by Pendell Meyers A man in his 50s was hunting with a friend when he suddenly “fell out”…
Christmas Eve Special Gift!! Prehospital Cath Lab Activation: What do you think?
A 60-something male was sent from Dialysis for several days of SOB. He did not know his medical history well. The patient was in no…
Global ST depression with ST elevation in aVR – what is the cause?
Written by Pendell Meyers An elderly patient with cardiac history presented with shortness of breath. This ECG was brought to me with concern…
Right sided heart failure and tachycardia.
A middle-aged male presented with tachycardia, dyspnea, and 4+ bilateral leg edema. What is the rhythm? There had been an ice storm, and it…