A 45-year old man with “Heartburn.” There is much more to the ECG than initially meets the eye.
A 45-year-old man presented to the ED complaining only of “heartburn”. There was no chest pain, no shortness of breath, nausea or…
Anteroseptal OMI? Accurate ECG interpretation is essential to correctly interpreting the angiogram.
Written by Willy Frick A man in his early 40s with prior anterior OMI s/p bare metal stent to LAD in 2014 presented with acute chest pain,…
Chest discomfort and a dilated right ventricle. What’s going on?
Written by Magnus Nossen MD, peer reviewed and edits by Smith, Meyers, Grauer A 60 something previously healthy female smoker sought medical…
Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor (“PEA arrest”)
An elderly woman was witnessed to collapse. 911 was called and when EMS arrived, she was unresponsive with shallow respirations, a GCS…
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:…
50-something with STEMI and hypotension: What is the infarct artery?
A 50-something woman presented with chest pain, midsternal, 9/10. Her BP was 93/58, pulse 110. Here is her ECG: What is the infarct…
A 40-Something male with a “Seizure,” Hypotension, and Bradycardia
This is by one of our outstanding 3rd year residents, Aaron Robinson, with some edits and comments by Smith EMS responded to a reported…
Inferolateral STEMI: is there right ventricular MI also?
A middle-aged patient called 911 for 1 hour of chest pain. He was hemodynamically stable. Here is the prehospital ECG: Obvious inferior MI,…
The Interventionalist Refuses Angiography, and even to speak to the Emergency Physician
A recent residency graduate, let’s call her “The Graduate” or “TG,” texted me these ECGs from somewhere far away…
Is there a Right Ventricular MI in addition to Infero-postero-lateral MI?
A 40-something woman had sudden chest pain. She called 911. This prehospital ECG was recorded: Here are limb leads: Here are…