A 58 year old collapses in the hot sun
A 58 yo male was out working in the hot sun for 2-3 hours. He stated he almost passed out, and bystanders called 911. They give him water with…
A middle-aged male with chest pain
A 40-something male presented with chest pressure. Here is his triage ECG: What do you think? The triage physician suspected that this was a…
A Young Man with Sharp Chest pain
Suppose this patient had chest pain. What would you diagnose? What is the diagnosis? OK. I lied, just so you could assess your…
T-wave inversions and dynamic ST elevation
Written by Pendell Meyers, with edits by Steve Smith I received a text message with no clinical information other than the following ECG, with…
Huge Precordial ST Elevation in an ED Patient
This was sent by Twitike Nthakomwa, a medical officer from Malawi who knows a lot about ECGs. Here is a 50-something patient who…
Are these Wellens’ waves?
This ECG was sent to me by one of my residents, who was puzzled by it: This ECG is from a 21 yo M with PMH of poly-substance abuse. He…
Scary ST Elevation. What is it?
911 was called for an 18 year old who had altered mental status after using K2 (a recreational drug). The medics put the patient on the…
High ST Elevation in a Patient with Acute Chest Pain
I was shown this ECG of a 50-something with acute chest pain: What do you think? I replied that this ST Elevation in precordial leads was…
Right Precordial T-wave Inversion
This was posted on Facebook EKG club by Massimo Bolognesi, from Italy. He is a highly respected Sports Medicine Cardiologist.…
A 50-something year old with typical chest pain
A middle age male presented with chest pain. Here is his ECG; there was no previous for comparison: QTc is 380 ms. There is 3 mm of STE…