A young man with a ‘pathologic’ ECG
Written by Magnus Nossen The patient in today’s case is a young adult male who has had annual cardiological follow-ups due to a…
Acute chest pain and an abnormal ECG. Do precordial leads show benign T-wave inversion or ischemia?
Written by Willy Frick A 51 year old man with hypertension presented with three hours of acute onset, severe midsternal chest pain…
Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)
This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it…
Should we activate the cath lab? A Quiz on 5 Cases.
Imagine you just started your ED shift. It’s a busy Friday afternoon. Triage is backed up, and 10 minutes into your shift one of the ED…
Profound ST depression in II, III, aVF
This 29 year old African American patient was found down, unconscious, not breathing and was given 2 mg of intranasal naloxone by a…
Chest pain with 2 serial ECGs, with dynamic change, texted to me
These were texted to me only with “chest pain.” First: 2nd: What was my response? Smith: Young thin black male. No OMI.…
Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.
Written by Pendell Meyers, edits by Smith and Grauer A man in his late 20s with history of asthma presented to the ED with a transient episode…
Understanding this pathognomonic ECG would have greatly benefitted the patient.
Written by Pendell Meyers Interpret this ECG first without context. You don’t need context yet because this ECG is nearly…
A 60-something male presents with crushing chest pain
I was reading ECGs on the system and saw this one: What do you think? I recognized this immediately as a variant due to some combination…