LVH and New ST-segment elevation: False Positive or True Positive STEMI?
A 72 year old man fell from standing and had head trauma. He was initially disoriented, but cleared. BP was 80/50…
Pseudo-Wellens’ Syndrome due to Left Ventricular Hypertrophy (LVH)
A 52 year old male presented with epigastric pain, continuing in the emergency department. He has a history of hypertension, and is on…
ST changes due to limb lead LVH?
This was a middle aged female with a h/o CAD who presented to the ED by EMS sudden onset of central chest pressure 45 min prior to…
Exertional Chest pain and Near Syncope in a Young Adolescent
An adolescent female presented for increasing chest pain (sometime sharp, sometime like someone standing on her chest) and palpitations with…
ST elevation (Saddleback), is it STEMI?
This 56 year old male presented with atypical chest pain and left arm numbness off and on for one week, worse on the day of presentation:…
Inferior ST Elevation: what is the Diagnosis?
You can read this post here, or watch a video presentation of it: https://hqmeded.com/inferior-st-elevation-2/ I was handed this ECG, without…
Cath lab activated. What do you think? (#2)
This 45 year old male called 911 for increasing SOB and CP over 2 weeks. His BP was 220/150. The medics did a prehospital ECG,…
Cath lab activated. What do you think?
This is a 47 year old African American man with substernal and right sided chest pain, worse with inspiration. EMS was called. Prehospital EKG…
New LBBB and Massive ST elevation: Do not automatically jump to activate the cath lab!
This 50 year old male presented with some atypical chest pain and a blood pressure of 220/150. There is Left Bundle Branch Block with up to 6…
Cardiac Arrest, acute ST elevation and depression superimposed on LVH, but NOT due to ACS
This young male had ventricular fibrillation during a triathlon. He was resuscitated with chest compressions and defibrillation and 1 mg of…