You may have noticed that I am an ECG geek – I love their simplicity and their complexity. I certainly don’t claim guru status, as I don’t possess expertise in the same way that Amal Mattu or Steve Smith do, but I do love ECGs. I regularly arrive on the ED floor at morning handover, [...]
This is the first of a (probably ongoing) series of posts in which I will discuss ECGs where subtle findings resulted in disagreement in diagnosis, and some differences in how best to manage the patient. By way of a shoutout and a thank you, I’d just like to preface this by saying that there is no [...]
I had intended to follow up my recent series of posts on STEMI vs pericarditis, a pet topic of mine (1. case / 2. ECG interpretation / 3. follow up), with a piece on differentiating these two entities. However, my posts were spotted by the incomparable ECG expert Amal Mattu, and he has based this week’s UMEM “EKG of the [...]
So this ECG has generated a fair bit of interest and quite a few comments both here and on Twitter. We trickled out a bit more information in the second post, but here is the final act: We figured there were essentially three options for this patient (with a few minor variations possible) given that [...]
Following on from our original post Not all ST elevation is STEMI What are your thoughts? Show me the money.. There is ST elevation in I, II and aVF (i.e. missing out III) and V5 and V6 (and a hint in V4) In aVF in particular this ST elevation is quite “flat” (i.e. not concave [...]
This 53 year old man is an ex-smoker, with HTN well controlled by a single agent. He presented to the ED under duress from his wife and GP with intermittent atypical pain which is sometimes worse with exertion, has a slight pleuritic variation, and radiates to shoulders. He mentions a more severe pain 2 days [...]
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