Acute Dyspnea and Right Bundle Branch Block
I was texted this ECG just as I was getting into bed. It is of an elderly woman who complained of shortness of breath and had a recent stent…
A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?
A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was…
What do you think of this ECG that was texted to me?
This ECG was texted to me by a colleague. I assumed it was from a patient with symptoms compatible with ACS/OMI. What do you think?…
This was texted to me in real time. The patient has acute chest pain.
This was texted to me in real time. The patient has acute chest pain. What do you think? Here was my answer: “Not ischemia.…
Two patients with chest pain. Do either of them need emergent reperfusion? Both? Neither?
Written by Pendell Meyers Here is a quick comparison / quiz post. It will be easy for long time blog readers. The two ECGs below are…
Acute chest pain and a bizarre ECG
Written by Pendell Meyers A middle aged adult presented with acute undifferentiated chest pain. Here is his ECG at triage: What do you…
Acute chest pain and a difficult ECG
Written by Pendell Meyers A man in his late 40s with several CAD risk factors presented with acute chest pain. He had several episodes lasting…
A woman in her 60s with palpitations, chest discomfort, and multiple misdiagnoses by both EM and Cardiology!!
Written by Pendell Meyers A woman in her 60s was shopping when she suddenly experienced palpitations and chest “discomfort.”…
A man in his 50s with anterior ST elevation and a “tall T wave in V1”
Written by Pendell Meyers Take a look at this ECG from a 57 yo M without any context first: What do you think? Imagine he presented with chest…
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…