Weakness, head trauma, and an abnormal ECG
Written by Pendell Meyers, with edits by Steve Smith A man in his 50s with history of CAD s/p CABG, CHF, and COPD presented after several…
Look at these “T”-waves
An alcoholic presented with confusion. He had this ECG recorded: What do you think? Computer measures the QT at 505 ms, and QTc at 533…
A middle-aged man with severe syncope, diffuse weakness
A middle-aged male diabetic who is otherwise healthy was found unconscious by his wife, with incontinence. He quickly awoke but was too…
Are These Wellens’ Waves??
This is a repost. I’ve received a few questions like this, so wanted to re-inforce the idea of down-up vs. up-down T-waves Case:…
A woman in her 20s with syncope
A young woman had what sounded like vasovagal syncope. This ECG was recorded: There is incomplete RBBB (QRS = 110 ms). There is…
A woman in her 50s with reproducible chest pain (seems to be chest wall pain)
This woman had recently undergone rotator cuff surgery and presented with L shoulder and chest pain. The pain was very reproducible with…
Right Bundle Branch Block with Biphasic Wave in lead V2?
A middle-age alcoholic presents with weakness and vague abdomimal discomfort. The patient’s previous ECG was from 4 years prior…
Prehospital Ventricular Fibrillation in a Young Woman. What is the Diagnosis?
An under 30 yo woman collapsed and was found in ventricular fibrillation, and was successfully defibrillated. Here is her prehospital ECG:…
What is the diagnosis? A nearly pathognomonic ECG.
A 50 year old woman complained of shortness of breath, but on closer questioning she seems to be weak. An ECG was recorded…
ST segment depression: what is the etiology?
This 86 year old woman had syncope. There is no chest pain or SOB. She is uncertain of her past medical history. There is atrial…