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…
Is This a Simple Right Bundle Branch Block?
A 72 year old male presented in shock. Here is his initial ECG: There is a wide complex at 194 ms, with RBBB. Anything else? Here is his…
Weakness and Bradycardia
A 70 yo man with a h/o DM, HTN, CAD, chronic renal insufficiency and recent NonSTEMI with pulmonary edema who is on carvedilol and amlodipine…
This is a quiz. The ECG is pathognomonic. Answer is at the bottom.
Hyperkalemia, with near sinusoidal pattern. Note very wide QRS, bizarre deep T-waves in V1 and V2, peaked T-waves in V4 and V5, long PR…