Electrical instability in a healthy 50 year old. How to manage?
Written by Magnus Nossen (with 2 important comments by Smith at the bottom) The patient in today’s case is a 50 year old…
Challenging Rhythms in an 80-something Man
Written by Magnus Nossen and Ken Grauer You are shown the ECG that appears in Figure-1 — obtained from an 80-something year…
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 young woman with palpitations. What med is she on? With what medication is she non-compliant? What management?
Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with…
An elderly patient with syncope, dyspnea, and weakness, but no Chest Pain, and mild hyperkalemia
An elderly patient had a fall from probable syncope, and could not get up. He complained of weakness and shortness of breath, but no…
Narrow Complex Tachycardia at a Rate of 220
40-something yo who is on flecainide and diltiazem had sudden onset chest pain, palpitations, shortness of breath and diaphoresis:…
Wide and weird
Written by Clare Gunn MD, peer reviewed by Smith, Meyers, Bracey A 74-year-old female presented to the ER after a trip and fall (unclear if…
Wide-complex tachycardia: VT, aberrant, or “other?”
Wide-complex tachycardia: VT or aberrant, or “other?” This case is contributed by Brooks Walsh, an EM physician and ECG expert…
Weakness and Dyspnea with a Sine Wave. It’s not what you think!
I don’t have all the clinical data on this patient, and unfortunately the ECGs are of low resolution, but they are good enough. Case A…
Right Bundle Branch Block with New Anterior ST elevation
An elderly female with no known history of CAD presented to the ED as a walk-in with vomiting and upper abdominal discomfort. The…