A patient with a “seizure” and a completely “normal” ECG
I happened on this ECG while walking by, and read it with no clinical information, remarked on it, and discussed it with the physicians caring…
Alcohol withdrawal and sinus tachycardia
This patient with alcohol withdrawal and tachycardia had an ECG recorded: What do you think? There is sinus tachycardia. Look at the QT…
QT Correction Formulas Compared to The Rule of Thumb (“Half the RR”)
This article discusses correction of the QT interval for rate. I’ve been working on this a long time, thought about submitting it to a…
An Alcoholic Patient with Syncope
A middle-aged male had sudden syncope. There was head injury and he was intoxicated with alcohol, but he stated “I’ve been…
A Pathognomonic ECG
This was sent to me by Mauro Cassazza from Italy: What do you see? Analysis It is tempting to think that the waves before the QRS are large…
Long QT Syndrome with Continuously Recurrent Polymorphic VT: Management
A young woman presented with intermittent shocks from her implantable defibrillator. She was intermittently unconscious and unable to…
How are these cases related?
I saw these two cases on the same day. This patient had a GI bleed and a massive transfusion: What is it? This patient had a history of…
Chest Pain and a Very Abnormal ECG
A male in his 60’s with no history of coronary disease presented with chest pain. Here is his ED ECG: He had several previous ECGs…
Syncope and Bradycardia
An elderly woman had syncope while having a bowel movement. She had an aortic stenosis murmur. Here is her ECG: Computer only read…
Long QT: Do not trust the computerized QT interval when the QT is long
A middle-aged male with h/o DM was found down. He was hypoglycemic (mild, 45 mg/dl) and had pneumonia with hypoxia. He had this…