Chest pain and Diffuse ST depression, with STE in aVR. You probably think it is left main…..
A 75 year old woman complained of very atypical chest pain, lasting days, worse with movement and palpation. Here is her ECG (ECG-1): There is…
Can you see through this wide complex rhythm?
Written by Pendell Meyers A 76 year old man with history of CHF, moderate aortic stenosis, insulin-dependent diabetes, hypertension, stroke,…
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
This patient called 911 for chest pain. The medics did an amazing job of recording serial ECGs. Time zero Hyperacute T-wave and subtle…
An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR
Written by Pendell Meyers 84 yo M with history of a “valve problem” presented for sudden onset chest pain and trouble breathing while eating…
A middle aged man with ST depression and a narrow window of opportunity
Written by Pendell Meyers I received a text at 18:13 of an ECG taken several minutes prior, with no clinical information and only the question…
ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand!
This case comes from Sam Ghali (@EM_RESUS). A 60-year-old man calls 911 after experiencing sudden onset chest pain,…
Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!
This was contributed by some folks at Wake Forest: Jason Stopyra, Shannon Mumma, Sean O’Rourke, and Brian Hiestand. It was edited by…
Ventricular fibrillation on a 12-lead ECG
A 54 year old male suddenly collapsed. He had not complained of symptoms prior to this. He received bystander CPR, then was…