Wide-complex tachycardia: VT, aberrant, or “other?”
Wide-complex tachycardia: VT or aberrant, or “other?” This case is contributed by Brooks Walsh, an EM physician and ECG expert…
Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.
Written by Pendell Meyers with edits by Steve Smith A male in his 60s presented with off and on shortness of breath and chest pressure over…
Tachycardia and ST Elevation.
This Case was sent from Anonymous. A middle-aged patient was sent to the ED with tachycardia. He denied any sensation of palpitations, but his…
What is the cause of this patient’s inferior ST depressions?
Written by Pendell Meyers, edits by Steve Smith A nurse brought this ECG to me, stating that she had recorded it because she was just notified…
Inferolateral ST elevation, vomiting, and elevated troponin
Another post written by Pendell Meyers, with edits from Dr. Smith: A male in his late 40s presented with nausea, vomiting, and epigastric…
What happens when you give adenosine to a patient with this rhythm?
A 40-something presented with palpitations and had a regular pulse at 170. Here is his 12-lead ECG: The computer reads supraventricular…
Very Fast Very Wide Complex Tachycardia
A male in his 60’s called 911 for dizziness and chest pain, onset with exertion. He was pale and diaphoretic (in shock) with a…
Is this inferor STEMI?
I received this ECG from a reader: This is a very elderly female with chest discomfort and SOB. Our interpretation was STEMI or demand…
One Hour Lecture: Supraventricular Tachycardias (including ED management of atrial fibrillation)
This is a lecture on ED diagnosis and management of supraventricular tachycardias: Sinus Tach Paroxysmal SVT Atrial Fibrillation Atrial…
A Very Wide Complex Tachycardia. What is the Rhythm? Use Lewis Leads!!
A patient with a history of severely reduced left ventricular function, renal insufficiency and atrial fibrillation presented with slight…