Hyperacute T-waves that one might attribute to hyperkalemia and acidosis
A 32 yo type I diabetic woman presented with chest pain, nausea, vomiting and diffuse abdominal pain. She was in DKA with an anion…
Anterior ST elevation with large broad T-wave: what is the diagnosis?
A 41 year old male presented to a clinic with chest pain. Here is the ECG: There are very large, scary T-waves, with significant ST…
Hyperacute T-waves, with a Twist
A 30 year old male complained of chest pain and then collapsed. He was resuscitated from ventricular fibrillation. He arrived at…
Transient STEMI, serial ECGs prehospital to hospital, all troponins negative (less than 0.04 ng/ml)
This is a 45 yo male who had an inferior STEMI 6 months prior, was found to have severe LAD and left main disease, and was supposed to be set…
Take a look at this prehospital ECG:
Follow on Twitter: smithECGBlog A 49 year old woman with chest pain arrived. The medics had recorded this ECG. What is the…
Is it MI or pericarditis?
I had a recent comment on this post, which was put up 7 years ago (850 posts since then!). I was reminded of it. And so I thought…
Stuttering thrombus in the LAD, dynamic hyperacute T-waves, Q-waves, full resolution at 3 months
A 70 y.o. woman who presented with L arm pain that started at 6:45 in the morning when she woke up. Pain was also in the upper…
Inferior hyperacute T-waves. The clue is T-wave inversion in aVL. Serial ECGs evolve to ST Elevation.
This is a 66 year old male with severe substernal chest pain. He was intermittently bradycardic down to the 30’s with a blood…
Hyperacute T-waves, missed by computer, short DBT, but large myocardial infarction
This 57 yo male with no past medical history had sudden onset of chest pain while sleeping. He called 911 at midnight and his…
35 yo woman with LAD occlusion manifesting with only hyperacute Ts and inferior ST depression, also missed by computer
Click here for other cases of missed STEMI. Click here for cases of early repolarization vs. LAD occlusion. A 35 yo woman had the sudden…