An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR
Written by Pendell Meyers 84 yo M with history of a “valve problem” presented for sudden onset chest pain and trouble breathing while eating…
Total eclipse of the heart
Written by Pendell Meyers A male in his late 50s had sudden chest pain radiating to the left side and back, with nausea and diaphoresis as…
ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand!
This case comes from Sam Ghali (@EM_RESUS). A 60-year-old man calls 911 after experiencing sudden onset chest pain,…
Interesting Left Main Occlusion….
Many believe that left main occlusion results in diffuse ST depression with ST elevation in aVR. This is not true, as I write about in…
A Hybrid of de Winter’s T-waves and Diffuse Subendocardial Ischemia: Left Main Ischemia
A very elderly woman who was highly functional complained of jaw pain and called 911. Her BP was 80/40 with a puls of 45. Here is…
ST Elevation in Lead aVR, with diffuse ST depression, does not represent left main occlusion
There are many publications stating that ST elevation in lead aVR, with diffuse ST depression elsewhere, is due to left main (LM) occlusion.…
Head On Motor Vehicle Collision. ST depression. Myocardial Contusion?
A woman in her 40’s was involved in a head-on motor vehicle collision. EMS noted a facial droop. On arrival she was hypertensive…
Atypical Chest Pain: Suspicious ECG, and a Left Main ACS is found in a 30-something
A male in his 30s presented with chest pain, cough, and sore throat. He had been seen in clinic the day prior for cough x 1 month and sore…
Marked ST depression refractory to maximal medical therapy
This 62 year old man, heavy smoker, with no previous medical history, presented after 2.5 hours of substernal chest pressure. He…
ST elevation in aVR, with widespread ST depression
This case and ECG was already posted here: https://drsmithsecgblog.com/2010/01/deep-and-widespread-st-depression.html However, because of a…