A 40-Something male with a “Seizure,” Hypotension, and Bradycardia
This ECG is from a man in his 40s who presented with a 'seizure' after intense sporting activity.
This ECG shows Sinus Bradycardia with inferior massive ST elevation and reciprocal change in aVL and I. Anterior ST elevation as well. The most likely cause was an inferior + right ventricular MI. V2 and V3 were probably reversed.
A 40-something healthy male with transient chest squeezing
This ECG is from a man in his 40s who presented with intermittent chest tightness, shortness of breath and diaphoresis.
This ECG shows ST elevation in V1-6 and hyperacute T waves out of proportion to the size of the QRS. There is terminal QRS distortion in V3. The cause was an acute proximal LAD occlusion.
Unusual: Troponin Trajectory to Help Determine Ongoing/Recurrent Infarction vs. Completed Infarction.
This ECG is from a man in his 40s who presented with a cough, shortness of breath and several episodes of chest pressure over the past week or so.
This ECG shows anterior ST elevation and deep QS waves. There was a 100% LAD occlusion that was approximately 2 weeks old.
How does acute left main occlusion present on the ECG? Case 2
This ECG is from a young woman who presented with sudden pulmonary oedema. This ECG was recorded just before she arrested.
This ECG shows sinus tachycardia, RBBB, LAFB and ST elevation in V2-6, I and aVL. The cause was a 100% left main occlusion.
OMI Confirmed by POCUS Echo in a 50 year man
This ECG is from a man in his 50s who presented with intermittent epigastric burning pain for 4 days that had become constant that morning.
This ECG shows ST elevation in aVL, I and V2-4 with reciprocal ST depression inferiorly. POCUS showed severe hypokinesis of the anterior wall. The cause was a large anterior MI.
What is the Diagnosis in this 70-something with Chest Pain?
This ECG is from a man in his 70s who presented with chest pain.
This ECG shows RBBB, LAFB and ST elevation V2-4. The troponin was very high due to a very large infarct. The cause was 3 vessel disease. The rhythm is also grouped, possibly bigeminy.
A man in his 40s with chest pain and syncope after cocaine use
This ECG is from a man in his 40s who presented with chest pain and syncope after cocaine use. He had pain at the time of this ECG.
This ECG shows ST elevation in V1-5 with Q waves anterior and inferior. Brugada-like morphology in V1. The cause was an anterior MI.