COPD exacerbation, followed by cardiac arrest.
An elderly woman called 911 for SOB. She had a history of COPD. On arrival, she was cyanotic and had increased work of breathing. En route to…
What is going on in V2 and V3, with a troponin I rising to 1826 ng/L at 4 hours?
I was reading EKGs on the system before a shift, and saw this one: What do you think? I was worried that the ST depression and T-wave…
An elderly woman with shortness of breath and an ECG that helps understand it
Written by Pendell Meyers, edits by Smith and Grauer One of my fantastic residents brought me an ECG on shift and asked for my…
21 year old woman with CP, SOB, then syncope, and with ST depression with T-wave inversion in V1-V3
You can see that I (Smith) have too much time on my hands now, as it is a beautiful Saturday afternoon and I am laid up, non-weight bearing…
A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli
A 30-something woman with known history of pulmonary hypertension due to chronic pulmonary emboli presented with 12 hours of substernal chest…
55 year old woman with chest pain and precordial T-wave Inversions
This 55 year old woman presented with chest pain: There is sinus rhythm. There is ST depression and there are negative T-waves in V1-V4.…
Chronic Right Ventricular Hypertrophy, or Acute Right Heart Strain? The ECG Helps Make the Diagnosis.
A middle-aged, obese, non English speaking man presented as a walk-in with SOB and leg swelling. His O2 saturations were 59% on room…
21 yo F with Syncope has Right Ventricular Hypertrophy and Pulmonary Hypertension
This 21 yo otherwise healthy woman, with a history of one episode of syncope 3 months prior, had onset of SOB, chest tightness, and epigastric…
Severe Right Ventricular Hypertrophy
This 23 year old presented to the Emergency Department with pharyngitis, but also complained of dyspnea on exertion. This ECG was recorded:…