Pre-syncope and a bizarre wide complex
Written by Magnus Nossen with edits by Grauer. The following ECG is from a man in his 70s with a history of atrial fibrillation (AF). He…
A man in his 70s with weakness and syncope
Written by Pendell Meyers A man in his 70s with no cardiac history presented with acute weakness, syncope, and fever. He denied chest…
Hyperthermia and ST Elevation
This was submitted by Alexandra Schick. Dr. Schick is a PGY3 at the Brown Emergency Medicine Residency in Rhode Island. I remember…
Cardiac arrest, severe acidosis, and a bizarre ECG
A middle aged male had an unwitnessed PEA arrest associated with cocaine use. Whether there was a shockable rhythm prior to PEA is…
Unstable Angina: Dr. Braunwald asks if it is time for a Requiem
In a recent commentary, Dr. Eugene Braunwald asked if it is time for a Requiem for Unstable Angina (ACS without a positive troponin, as…
Syncope and ST Segment Elevation. And another finding. How well does the computer interpretation perform?
A woman of approximately 50 years of age had been feeling weak and febrile, then had syncope. EMS recorded this ECG: Sinus…
Brugada pattern induced by tricyclic antidepressant
A 31 year old male presented obtunded after a suspected intentional overdose with amitryptiline. He was intubated, and this ECG was…
Anterior ST elevation: is it STEMI?
I received a call from an outside hospital. A 31 year old healthy auto mechanic had a prolonged exposure to Carbon Monoxide in his…
Pseudoinfarction patterns: there are many and this is one: what is it?
This is courtesy of Mohammed S. Alo, who kindly let me reproduce a case from his blog (Mohammed Alo’s blog). This is a 40 year old male…