Why did it take 70 years for this to cause trouble? And what are the markers of risk in this ECG?
This patient was admitted after experiencing syncope while seated. What is the primary abnormality on this ECG, and what additional, more…
Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?
A middle-age woman with no previous cardiac history called 911 for chest pain. This was her prehospital ECG: What do you think? There is sinus…
Sometimes a patient is fortunate to have a cardiac arrest
Written by Pendell Meyers A man in his 60s presented with acute chest pain. Here is his triage ECG: What do you think? There is sinus…
VF arrest at home, no memory of chest pain. Angiography non-diagnostic. Does this patient need an ICD? You need all the ECGs to know for sure.
Written by Willy Frick A man in his 50s was at home with his family when they heard a thud and rushed into the room to find him unconscious…
1 hour of CPR, then ECMO circulation, then successful defibrillation….
An elderly woman had sudden ventricular fibrillation. She was unable to be defibrillated but was cannulated and placed on ECMO in our…
Potassium and Magnesium: how low is too low?
A 30-something woman with h/o HTN on losartan presented for vomiting, diarrhea, and cough for 2-3 days. K returned at 2.4 mEq/L…
Potassium and Magnesium: how low is too low?
A 30-something woman with h/o HTN on losartan presented for vomiting, diarrhea, and cough for 2-3 days. K returned at 2.4 mEq/L…
Posterolateral OMI resulting in VT, then R-on-T phenomenon and VF
Submitted by Arjun Iyer, Written by Pendell Meyers A male in his 50s with no known medical history presented for chest pain and shortness of…
A middle-aged woman with chest pain and a “normal” ECG in triage
This was sent to me by a former resident from a community hospital: A middle-aged woman complained of chest pain and was seen in triage. She…
Chest pain and a “normal” ECG
This is another case written by Pendell Meyers (who is helping to edit the blog and has many great recent posts) Case A 45 year old man was…