If you saw this EKG completely isolated from clinical context, how would you interpret it?
Written by Willy Frick This blog has repeatedly made the point that ECGs must always be interpreted in clinical context. But…
What happens when a clinic does not have troponin testing for chest pain patients? Stress testing?
Written by Willy Frick — Commentary added below on 6/4/2025 by Ken Grauer regarding ETT A 90 year old man with history of hypertension,…
Intermittent Chest pain with Nausea and Vomiting, resolved at this moment
This is from Amandeep (“Deep”) Singh. Dept Emergency Medicine, Highland Hospital, Oakland. Case 51 yo male who…
A man in his 50s with chest pain and shortness of breath
Submitted by Ali Khan MD, written by Pendell Meyers A man in his early 50s presented with exertional chest pain and dyspnea. He had family…
Do you understand these T-wave inversions?
Case submitted and written by Alex Bracey, with edits by Pendell Meyers A man in his 50s without prior medical history was sent to the…
Is there Wellens’ syndrome in left bundle branch block? Or in inferior and lateral leads?
Written by Pendell Meyers, with edits by Steve Smith A male in his 80s old had acute onset of chest pain. Here is his first ECG, time…
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…
Pseudonormalization of Inferior T-waves
In a few days I will post a twist on pseudonormalization, but wanted to first post this classic case. This 49 year old male presented after an…