I was reading this ECG in the queue, with no clinical info. What do you think? My interpretation was LVH, no evidence of MI. There was no previous ECG or echo for comparison. My ECG diagnosis may surprise you, as I have long discussed "ST elevation in aVL with reciprocal ST depression in le
This male in his 20's presented with chest pain: There is sinus rhythm with a PVC. There is 2.5 mm ST elevation at the J-point, relative to the PQ junction, in both of leads V2, V3. This meets the ACC/AHA criteria (for age less than 40) for anterior STEMI. The ST segments in V2 and V3 are not upward
A young man had sudden syncope without a prodrome, after which he was aysmptomatic. He presented to an ED and had this ECG recorded: What do you see? There is an abnormal rSr' in V1, with the r'-wave not falling quickly back to baseline. The T-wave is inverted, but this is also a normal finding
A young woman was found down, unresponsive, with legs crossed. She was intubated by medics. A prehospital EKG (not found, but reportedly identical to the first ED ECG below) was read as ***STEMI*** and after prehospital cath lab activation, the patient was transported to the ED. On arrival, she
This was sent to me by Jason Winter, of Facebook Clinical Electrocardiology Page http://ift.tt/1UAYFO0 This is a 36 yo m with h/o TBI and epilepsy. He had a seizure this morning and rolled out of bed unable to get up. There were no injuries and no chest pain and he appeared well. He complain
Just as hyperacute T-waves can be reciprocal to T-wave inversion (last case),..... ....T-wave inversion can be reciprocal to STEMI of opposite wall! This case was sent by Arthur Lee.Case: A 50 yr old woman presented after a syncopal episode, with sweating and left arm numbness. There was no chest
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ST Elevation in aVL. Reciprocal ST depression in III. Is it MI?
LAD occlusion or Early Repolarization?
A Patient with Syncope
ST Elevation. What is it?
Anterior STEMI? Or Benign Early Repolarization?
Just as hyperacute T-waves can be reciprocal to T-wave inversion (last case),.....
10 Cases of Inferior Hyperacute T-waves
Chest Pain, ST Elevation, and an Elevated Troponin: Should we Activate the Cath Lab?
STE in aVR and diffuse ST depression: It can be ACS or demand ischemia. If ACS, either posterior STEMI or subendocardial ischemia!
Emergency Transvenous Cardiac Pacing