This ECG is from a young woman who presented with status epilepticus seizures and an apparent overdose of bupropion, with possible cocaine ingestion. She was intubated and given propofol and benzodiazepines, which terminated the seizures. This was the repeat ECG 8 hours after presentation, just before she arrested.
Two cases texted to me for concern of inferior hyperacute T waves and a flipped T in aVL – do either, neither, or both need emergent reperfusion? 27762
Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI? 25959
Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI? 8 hours later. 26623