Chest pain and T-wave inversion in lead V2
This is the ECG of a young man who complained of chest pain. Here is the computer interpretation: ATRIAL FLUTTER/TACHYCARDIA (this is…
A female in her 60s who was lucky to get expert ECG interpretation
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the critical care section of the ED…
A 40-something male with epigastric pain
A 40-something male presented with epigastric pain. An ECG was recorded immediately (time zero): This was texted to me asking for my opinion.…
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…
A 30-something with 8 hours of chest pain and an elevated troponin
I received this email: “Hi Steve, “I’m curious what you thought of these ECGs. They were on a 34 y/o with constant CP…
Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis?
A male in his 60’s with med h/o only significant for HTN and hyperlipidemia presented for CP and SOB. On the day prior,…
Acute Dyspnea in a Middle Aged Male
A middle aged man with several CAD risk factors presented with one week of intermittent shortness of breath and then sudden severe…
Pseudo-Wellens’ Syndrome due to Left Ventricular Hypertrophy (LVH)
A 52 year old male presented with epigastric pain, continuing in the emergency department. He has a history of hypertension, and is on…
Wellens’ syndrome, no culprit, what happened?
A 55 yo male with h/o smoking complained of 4 days of intermittent chest pain lasting up to a few hours each day. He presented to the ED…
Reversible T-wave inversion — it reverses, then evolves, then reverses when ischemia is gone. Normalization of T-waves, NOT pseudonormalization.
A 62 yo male has had chest pain with exertion for 2 weeks. He began having chest pain at rest at 2AM, and presented at 7 AM. Here is his…