Several Wide Complex Rhythms in One Patient. Test yourself: Will You See What I Did Not See?
This time I’m going to tell you that the case is mine because the mistakes were mine. I sat down to write one narrative, but as I…
What Does this ECG tell us about the Electrolytes?
See description and answer below Hint: this is a dialysis patient 1. There are peaked T-waves 2. There is a long ST segment, resulting in a…
You MUST recognize this pattern, even if it is not common
Disclaimer: I never state from where I get a case. They come from all over the world. Any case may or may not be from my own…
A Tragic Case, related to the last post
5-10 years ago, a male in his 70’s presented with weakness. There was no chest pain. Here is his initial ECG: There is…
Hyperkalemia and ST Segment Elevation, Post 1
Case 1. A male in his 60’s presented with weakness. Here is his initial ECG. He had no chest pain: Probable junctional…
This ECG is pathognomonic of a life threatening condition, and you must be able to immediately recognize it
What is wrong with this patient who complains of weakness? PR is 224 ms, QRS 177 ms. Answer below Answer: HyperK. You must be able…
Right Bundle Branch Block with ST Elevation in V1?
There is a wide QRS with a tall R-wave in aVR and V1 and wide S-wave in lateral leads, leading one to believe this is RBBB. There is ST…
Bradycardia
A 60’ish male presented with 2 weeks of intermittent chest pain. He has a history of MI and renal insufficiency. Now he…
Hyperkalemia in the setting of Left Bundle Branch Block
I’m sorry, but there was an error in the previous post and I had to remove it. Depending on information received, I may be able to…
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…