A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation
Written by Pendell Meyers A man in his 70s presented to the ED complaining of various symptoms including chest pain and shortness of breath.…
What are these ST elevations, ST depressions, and tall T waves diagnostic of?
Written by Pendell Meyers Let’s see this presentation ECG without any context first (no baseline ECG was available) What do you…
A man in his 60s with diaphoresis, vomiting, and inferior STE
Written by Pendell Meyers A man in his 60s appeared altered and diaphoretic and vomiting to a bystander, who called EMS. EMS personnel agreed…
A 50 year old man with sudden altered mental status and inferior STE. Would you give lytics? Yes, but not because of the ECG!
Submitted by Alex Bracey, written by Pendell Meyers A man in his 50s was hunting with a friend when he suddenly “fell out”…
An ECG sent to me with concern for hyperacute T-waves
Written by Pendell Meyers A woman in her 70s with diabetes, hypertension, and hyperlipidemia suddenly developed nausea, diaphoresis, and brief…
A 60-something with syncope
The medics were called for sudden LOC and then awakening, witnessed by his spouse. The patient looked ill to them. They recorded a prehospital…
Three EKGs shown to me – which if any need emergent reperfusion?
Written by Pendell Meyers We commonly get feedback from readers who are skeptical that we can pick out the subtle NSTEMI occlusions from…
Two cases of ST Elevation with Terminal T-wave Inversion – do either, neither, or both need reperfusion?
Written by Pendell Meyers with edits by Steve Smith I was sent these 2 ECGs with no clinical information other than chest pain: Do either or…
“Steve, what do you think of this ECG in this Cardiac Arrest Patient?”
I was shown this ECG. The resident asked: “Steve, what do you think of this ECG in this Cardiac Arrest Patient?” What do you…
ST Elevation in I and aVL: do prehospital cath lab activation on these cases?
Case 1. A 50-something year old man with 2 cardiac risk factors had a syncopal episode associated with diaphoresis. There was no chest…