Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4
An elderly woman had sudden SOB and 911 was called. Medics found her with labored breathing and 75% saturations. She was put on…
An elderly man who dies 12 hours later – could he have been saved?
Sent by Anonymous, written by Pendell Meyers and Steve Smith An elderly man with good neurologic baseline but history of CABG presented to the…
Neck and Jaw Pain in a patient with a Pacemaker. Sgarbossa Negative. But How about the Modified Sgarbossa Criteria?
I was at home on a late Saturday evening when this first ED ECG was texted to me: Atrial and Right Ventricular Paced Rhythm (most pacing is RV…
LBBB: Using the (Smith) Modified Sgarbossa Criteria would have saved this man’s life
Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo…
A woman in her 40s with palpitations and chest pressure of unusual etiology
Submitted and written by Magnus Nossen MD from Norway, with some minor edits by Meyers and Smith A female in her 40s with no known cardiac…
Chest pain with ventricular paced rhythm – will you be able to rise above the STEMI paradigm and figure out what to do?
Submitted by Marie Wofford MD and Mark Kastner MD, edits by Smith and Meyers An 86 year old with prior history of CAD and PCI, aortic…
“Pay me now, or pay me later”
This patient presented with acute pulmonary edema without chest pain. A bit of history prior to showing the ECG: The patient had been…
Barcelona Rule on Left Bundle Branch Block: Lots of Issues.
By the time we read the paper on the Barcelona rule, it was too late to write a letter to the editor or a commentary. So we are posting it…
Acute coronary occlusion seen in paced *and* non-paced ECGs
This was written by Brooks Walsh @BrooksWalsh, an emergency physician in Connecticut. A paced ECG The family of a very elderly person called…
Cardiologists need to keep an open mind and be capable of listening to, and learning from, the Emergency Physician
This was sent by a reader. He wanted to remain anonymous but also wanted to express appreciation for the great job his 4th year resident…