Chest pressure during exertion, evolution of inverted T-waves and Troponins. Surprise Angiogram.

I was texted this ED ECG with the words: “40-something with chest pressure during exertion.”  It is unclear whether the pain was gone at this time, but it was certainly better after receiving some sublingual nitro. Presentation ECG 1 What do you think? My response was: “Definitely ischemia. Probable high lateral MI.  If patient still

ECG of the Week – 2nd July 2018

The following ECG is from a 57yr old female who presented with chest pain on a background of known mitral stenosis secondary to rheumatic fever. Click to enlarge Things to think about What are the key ECG abnormalities ? What factors would influence your management ? What are the diagnostic criteria for rheumatic fever ?

Medmastery: Anti-tachycardia pacing

LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog The team at Medmastery are providing LITFL readers with a series of FOAMed courses from across their website. Exploring the ICD Essentials course, today’s video looks at cardioversion of ventricular

LITFL Review 337

LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog – Emergency medicine and critical care medical education blog Welcome to the 337th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine