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…
Atrial Flutter with Inferior STEMI?
A 40-something year old male presented with tachycardia. Computer analysis: Atrial Flutter with Inferior ST Elevation MI. The computer (and…
Acute Severe Pulmonary Edema: What is the Diagnosis?
Here is an interesting case just presented in a conference today. Thanks to Dr. Simegn, Asinger, Davies, and Bart for their input. A 69…
What is the Diagnosis?
This 65 year old woman presented in cardiogenic shock: Some will find this easy (if so, sorry!), but some might be confused. See below.…
Atrial Flutter Mimicking ST Depression
A 65 year old presented with altered mental status and had an intracranial bleed: One could be fooled into thinking this is sinus tachycardia…