Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?
A middle-age woman with h/o hypertension was found down by her husband. Medics found her apneic and pulseless, began CPR, and she was…
ST depression, pulmonary edema, and severe hypertension: is this demand ischemia or acute coronary syndrome?
This middle-aged patient has a history of CVA and hypertension. He presented with a two hour onset of pulmonary edema and chest…
Man in his 70’s with presyncope. Some interesting data on troponins included.
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ST depression after cardiac arrest is frequently not due to ACS
Case 1 A 22 yo male had a cardiac arrest with ventricular fibrillation recorded. He was resuscitated. He was comatose. Here…
Five Primary Patterns of Ischemic ST depression, without ST elevation. Some are STEMI-equivalents.
Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician.…
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…
Atrial Repolarization Wave Mimicking ST Depression
A 25 year old woman presented with a caffeine overdose and chest discomfort. This is her ECG: There is sinus tachycardia (rate =…
Missed Acute MI, with coronary occlusion, evidence only by T-wave inversion in V2 and evolving ST depression in V3
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Take a look at this prehospital ECG:
Follow on Twitter: smithECGBlog A 49 year old woman with chest pain arrived. The medics had recorded this ECG. What is the…
Wide complex tachycardias: 2 cases. What is the diagnosis and management?
This is the most widely misunderstood problem in Emergency tachydysrhythmia care. There are many textbooks and articles and preparatory…