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…
A woman in her 70s with bradycardia and hypotension
Submitted by Anonymous, written by Pendell Meyers A woman in her 70s with HTN and DM had been experiencing lower chest / upper epigastric pain…
A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block
This case was texted to me by one of our residency graduates, and with the outcome, so I don’t know how I would have interpreted it…
Can you see through this paced rhythm?
Written by Pendell Meyers An elderly female with known CAD and multiple stents, pacemaker, stroke, and COPD presented with 2 hours of…
A 70-something with Ventricular Paced Rhythm and Chest Pain
A 70-something presented with stuttering chest pain for a couple days that became constant shortly before presentation to the ED. I was shown…
Can you see through this wide complex rhythm?
Written by Pendell Meyers A 76 year old man with history of CHF, moderate aortic stenosis, insulin-dependent diabetes, hypertension, stroke,…
A 60-something year old man with chest pain and a wide QRS
Written by Pendell Meyers, with edits by Steve Smith A man in his 60s with history of CAD s/p PCI, HTN, presented with chest pain which…
Patient with Paced Rhythm in Severe Cardiomyopathy Presents with SOB due to Acute Decompensated Heart Failure
This is a middle-aged male with h/o with a history of heart failure with severely reduced ejection fraction due to dilated ischemic…