Why is there ST Elevation in lead V2? Think Lead Placement.
I was shown this ECG of a 40-something intoxicated male with altered mental status. The provider was very worried about LAD…
Nonspecific symptoms with RBBB and New ST Elevation. Anterior STEMI, right? What does the echo show?
A 50-something male with a history of COPD and substance use disorder who presented with generalized weakness and exacerbation of chronic back…
A 32 year old woman with chest pain has a prehospital ECG
A 32 year old woman with chest pain has a prehospital ECG: What do you think? Is it really “due to ventricular hypertrophy,” as…
ST Elevation in aVL with reciprocal ST Depression in inferior leads and DIffuse ST depression
An elderly male had volume depletion and anemia, and complained of chest pain. We recorded this ECG: Q-waves and ST Elevation in I and aVL ST…
Saddleback ST Elevation. Is it STEMI? Is it type II Brugada?
A 50-something presented with epigastric and chest pain. Here is his ECG: What do you think? QTc 388 ms. Computer interpretation: SINUS…
Chest Pain and Q-waves in V1 and V2. Is there previous septal MI?
A middle-aged woman presented with chest pain. She had no history of cardiac disease. She had this presenting ECG: There are Q-waves in…
Chest pain and T-wave inversion in lead V2
This is the ECG of a young man who complained of chest pain. Here is the computer interpretation: ATRIAL FLUTTER/TACHYCARDIA (this is…
Left Bundle Branch Block, Severe Chest pain, Previous Normal Angio. What is going on?
A middle-aged woman with idiopathic cardiomyopathy and biventricular failure, with previous EF of 15%, presented with sudden onset severe…
Tachycardia, hyperthyroid, and ST elevation. What is it?
This ECG was texted to me on my phone, with the words “Asymptomatic with hyperthyroidism:” What do you think? I replied that…
Are these Wellens’ waves?
This ECG was sent to me by one of my residents, who was puzzled by it: This ECG is from a 21 yo M with PMH of poly-substance abuse. He…