80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression
An 80-something year old man with history of metastatic cancer had acute onset of chest pain and called 911. Here is his prehospital ECG: What…
A wide complex tachycardia
Submitted by Van Wall M.D., Written by Pendell Meyers Let’s go back to the basics for a common and classic scenario. A middle-aged…
Chest pain after motor vehicle collision with an abnormal ECG – blunt cardiac injury? OMI? normal variant?
Submitted and written by Morgan Penzler MD, with edits by Pendell Meyers A man in his early 40s with no significant past medical history was…
“It isn’t a STEMI,” so cath lab refusal (again). Were they right?
Sent by Anonymous, written by Pendell Meyers An elderly female called EMS for acute epigastric pain. EMS arrived and recorded this ECG on the…
Repost: Syncope, Shock, AV block, RBBB, Large RV, “Anterior” ST Elevation in V1-V3
I came across this post from 2015 while answering a question on Twitter, and decided to repost it:…
Two patients with RBBB
Case 1. A 60-something woman presented with dyspnea. She had a history of chronic respiratory disease and hypoxia, but hypoxia was no…
A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB).
A patient arrived after PEA arrest, with ROSC after intubation and chest compressions. Here is the initial 12-lead ECG: What is the…
Is this just right bundle branch block?
This ECG was texted to me with the text: “There is a history of RBBB but we do not have an image to compare this with. I interpret…
Right Bundle Branch Block and ST Depression in V1-V3. Is that normal? And a complication.
A late middle-aged male with h/o 3 vessel bypass (CABG), type 2 diabetes, peripheral vascular disease, DVT, Chronic Kideny Disease, and…
What is lurking underneath this new right bundle branch block?
Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and…