Patient is informed of her husband’s death: is it OMI or it stress cardiomyopathy?
Written by Willy Frick Disclaimer at the outset: Some aspects of this case are not completely clear to me, and approach being unknowable.…
Collapse, Ventricular Tachycardia, Cardioverted, Comatose on Arrival. OMI is a clinical diagnosis.
A middle-aged woman cried out, then collapsed. She had bystander CPR. First responders palpated a pulse. Paramedics found…
Chest pain, sinus tachycardia, and ST Elevation
I was reading through ECGs on the system when I saw this one: Sinus tachycardia, rate 120 Computerized QTc = 380 ms What do you think? I…
Bizarre T-wave Inversions in a Patient without Chest Pain
This was sent by a recent ultrasound fellow, asking for my ECG diagnosis. He stated that it is “an acute change from previous” in…
Spiked Helmet Sign
A middle-aged woman presented with symptoms of mild ischemic stroke. There were no chest symptoms. An ECG was recorded as part of the…
DIffuse ST Elevation with Apical Ballooning: is it Takotsubo Stress Cardiomyopathy?
A 33 year old male had 2 days of chest pain, intermittently relieved with acetaminophen (paracetamol) and diclofenac. He came to the ED…
Diffuse ST Elevation. What do you think?
What do you think of this ECG, without any clinical information? There is inferior and lateral ST elevation and ST depression in V1 and V2,…
Massive ST Elevation After V Fib Arrest, Discordant Bedside Echo Results
A woman in her 40’s was brought the ED (not by ambulance) for what is believed to be a seizure. She was reportedly very anxious…
COPD exacerbation, what do the ECG and bedside echo show?
A woman in her 60s presented with a COPD exacerbation. She also complained of some sharp chest pain with coughing. She was in moderate…