4 mm of ST elevation in lead V2 (at the J-point) relative to PQ junction
A male in his 30’s male complained of chest pain while having a dental procedure, then became syncopal. The patient is young…
Activate the Cath Lab?
This 52 year old African American male presented with chest pain that was not clearly typical. Here is his ED ECG: There is ST elevation…
Right Bundle Branch Block with ST Elevation in V1?
There is a wide QRS with a tall R-wave in aVR and V1 and wide S-wave in lateral leads, leading one to believe this is RBBB. There is ST…
Male in his 40’s with chest pressure: what is the diagnosis
This 40-some year old patient complained of chest pressure and had this ECG recorded: See comments and diagnosis below The providers were a…
WPW mimicking and obscuring acute MI
This was inspired by an undergraduate named Harvey Pendell Meyers, who knows a heck of a lot about ECGs. How is that possible, as an…
Atrial Flutter Mimicking ST Depression
A 65 year old presented with altered mental status and had an intracranial bleed: One could be fooled into thinking this is sinus tachycardia…
Tachycardia with Pericardial Effusion
A 52 year old man with a history of atrial fibrillation and prosthetic mitral valve replacement just 11 weeks prior presented with a complaint…
Chest pain, tachycardia, diffuse ST elevation. What is the diagnosis?
First, I want you to see the ECG without a lot of clinical information: this 45 year old male presented with left chest pain: What…
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…