A woman in her 60s with syncope and vomiting. Does she need a pacemaker?
Written by Pendell Meyers with some edits by Steve Smith A woman in her 60s on chemotherapy presented to the Emergency Department for a…
A 50s year old man with lightheadedness and bradycardia
Written by Pendell Meyers with edits by Smith and Grauer A man in his 50s with history of end stage renal disease on dialysis, prior…
“It isn’t a STEMI,” so cath lab refusal (again). Were they right?
Sent by Anonymous, written by Pendell Meyers An elderly female called EMS for acute epigastric pain. EMS arrived and recorded this ECG on the…
What do you think of this elderly man with “possible seizure”?
Written by Pendell Meyers (with really great and thorough explanation of this finding by Ken Grauer). At my hospital, patients with any…
Syncope and Chest Pressure, then an Unusual Bradycardia with Shock
This comment on this case is from Jerry Jones, and is so good that I am pasting it at the top of this post so everyone can read it:…
A 40-Something male with a “Seizure,” Hypotension, and Bradycardia
This is by one of our outstanding 3rd year residents, Aaron Robinson, with some edits and comments by Smith EMS responded to a reported…
What will you do for this altered and bradycardic patient?
Written by Pendell Meyers A female in her 60s with COPD, DM, hypothyroidism, CAD, and severe bladder cancer presented from a nursing home with…
See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm
Written by Meyers, edits by Smith: A female in her 60s presented complaining of 2-3 days of fatigue and shortness of breath. She called EMS…
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…
Bradycardia, SOB, in a Dialysis Patient
A dialysis patient presented with dyspnea and a heart rate of 33. His medications included amlodipine and carvedilol. He has a…