An elderly patient with syncope, dyspnea, and weakness, but no Chest Pain, and mild hyperkalemia
An elderly patient had a fall from probable syncope, and could not get up. He complained of weakness and shortness of breath, but no…
A man in his 40s who really needs you to understand his ECG
Written by Pendell Meyers A man in his 40s presented for “left sided chest pain sudden onset yesterday when sneezing and coughing…
A man in his 60s with a seemingly mechanical fall and subsequent seizure. Until the ECG.
Written by Pendell Meyers A man in his 60s is brought in to the ED by EMS for a fall witnessed by his wife, followed by multiple episodes of…
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…
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…
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…
Elderly with Paced Rhythm, Possible Ischemic symptoms, and an Equivocal Smith Modified Sgarbossa ECG
An 80 year old presented with a couple days of SOB, weakness, and diaphoresis. There was no chest pain. Here was her initial ECG: What…
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…