Syncope and a short pause on event monitor
Written by Willy Frick A middle aged man was inspecting the food in his (closed) oven when he felt a few moments of light-headedness. He…
Chest pain: Are these really “Nonspecific ST-T wave abnormalities”, as the cardiologist interpretation states?
Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria,…
Is this Rhythm Puzzling to You?
================================== My Comment by KEN GRAUER, MD (3/30/2023): ================================== The ECG…
A man in his 40s who really needs you to understand his ECG
Written by Pendell Meyers A man in his 40s presented for “left sided chest pain sudden onset yesterday when sneezing and coughing…
Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4
An elderly woman had sudden SOB and 911 was called. Medics found her with labored breathing and 75% saturations. She was put on…
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…
Repost: Syncope, Shock, AV block, RBBB, Large RV, “Anterior” ST Elevation in V1-V3
I came across this post from 2015 while answering a question on Twitter, and decided to repost it:…
Pre-existing Left Bundle Branch Block and Atrial Fib: what is alarming on this routine pre-procedure ECG?
An elderly patient had a pre-procedure ECG (ECG-1). She was asymptomatic. The patient had known Left Bundle Branch Block (LBBB)…
A 70-something woman with syncope and a wide complex
This case was written by Andy Lichtenheld (https://twitter.com/ALichtenheld), a really smart 2nd year resident here at our Emergency Medicine…
Sudden weakness with bradycardia and bizarre T-waves
An 60-something man complained of sudden weakness. There was no chest pain or SOB. He had normal blood pressure and perfusion and…