Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG
This ECG is from an elderly male who presented with lethargy and pelvic pain. He was hypotensive (66/31), pulse 80.
This ECG shows widespread ST depression and reciprocal ST elevation in aVR due to diffuse subendocardial ischemia. The most likely cause was septic shock.
How does acute left main occlusion present on the ECG?
This ECG is from a woman in her 50s who presented with 3 days of intermittent chest pain that became worse on the day of presentation, with diaphoresis and radiation to the left arm, as well as abdominal pain.
This ECG shows widespread ST depression with ST elevation in aVR and V1-2, due to a 100% left main occlusion.
Diffuse ST depression, and ST elevation in aVR. Left main, right?
This ECG is from a middle aged male who presented with diffuse pain on a background of sickle cell disease.
This ECG shows LVH, diffuse ST depression with ST elevation in aVR and apparrent prolonged QTc due to U waves. The cause was hypokalemia (2.6).
Chest pain and Diffuse ST depression, with STE in aVR. You probably think it is left main…..
This ECG is from a woman in her 70s who presented with very atypical chest pain lasting days that was worse with movement and palpation.
This ECG shows diffuse ST depression likely due to hypokalemia as it normalised after replacement.
The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock
This ECG is from a woman in her 60s who presented with hypotension, bradycardia, chest pain and back pain. She had a history of aortic aneurysm, mechanical aortic valve and peripheral vascular disease.
This ECG shows widespread ST depression with ST elevation in aVR. The cause was aortic valve thrombosis.