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13 Min Read

onOctober 30, 2024

Chest pain and Saddleback STE. For Which of these 6 Cases should we Activate the cath lab? And how does the Queen of Hearts perform?

Smith Introduction: Saddleback ST Elevation is often an OMI mimic, so one needs to scrutinize these ECGs!! Written by Magnus Nossen Below are…

4 Min Read

Steve Smith

onJanuary 29, 2024

A 40-something with chest pain

This was sent by Sam Ghali @EM_RESUS A 44 year old man presented with chest pain The tech came running with the ECG as the computer called…

6 Min Read

Steve Smith

onApril 17, 2022

What is this ST Elevation?

This patient was sent to the ED because of a potassium of 6.1 mEq/L and some acute renal insufficiency. He had an ECG recorded: This was…

3 Min Read

Pendell Meyers

onJanuary 8, 2022

A man in his 50s with abdominal pain and a computer read of Acute MI

Submitted by Dr. Arjun J V, Written by Pendell Meyers A man in his 50s with history of diabetes presented with acute onset abdominal…

4 Min Read

Pendell Meyers

onSeptember 19, 2021

A man in his 50s with anterior ST elevation and a “tall T wave in V1”

Written by Pendell Meyers Take a look at this ECG from a 57 yo M without any context first: What do you think? Imagine he presented with chest…

2 Min Read

Steve Smith

onMay 27, 2021

Why is there ST Elevation in lead V2? Think Lead Placement.

I was shown this ECG of a 40-something intoxicated male with altered mental status. The provider was very worried about LAD…

5 Min Read

Steve Smith

onNovember 28, 2018

Saddleback ST Elevation. Is it STEMI? Is it type II Brugada?

A 50-something presented with epigastric and chest pain. Here is his ECG: What do you think? QTc 388 ms. Computer interpretation: SINUS…

2 Min Read

Steve Smith

onOctober 26, 2016

RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?

This case was contributed by Brooks Walsh, an ECG enthusiast who has contributed frequently, and edited by Smith A very healthy 40 year-old…

3 Min Read

Steve Smith

onApril 1, 2015

A Very Subtle LAD Occlusion….T-wave in V1??

This was sent by a former resident. Our residents get a 34 hour ECG course from me over their 3 years, and they often see things I…

3 Min Read

Steve Smith

onJanuary 24, 2015

Anatomy of a Missed LAD Occlusion (classified as a NonSTEMI)

A male in his 50’s called 911 for constant 8/10 midsternal chest pressure. Here was his prehospital ECG: Computerized QTc is 423…

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saddleback STE

Chest pain and Saddleback STE. For Which of these 6 Cases should we Activate the cath lab? And how does the Queen of Hearts perform?

A 40-something with chest pain

What is this ST Elevation?

A man in his 50s with abdominal pain and a computer read of Acute MI

A man in his 50s with anterior ST elevation and a “tall T wave in V1”

Why is there ST Elevation in lead V2? Think Lead Placement.

Saddleback ST Elevation. Is it STEMI? Is it type II Brugada?

RSR’ with ST elevation: is this Right Bundle Branch Block with STEMI? Type 2 Brugada?

A Very Subtle LAD Occlusion….T-wave in V1??

Anatomy of a Missed LAD Occlusion (classified as a NonSTEMI)