Here is a graphic I created to help explain Sgarbossa’s criteria for identifying acute myocardial infarction (AMI) in the presence of left bundle branch block (LBBB) or paced rhythm. In a previous article I showed this graphic which was created using PowerPoint. Here is a similar graphic I created this morning by cropping actual ECGs […]

This series has been updated and moved. Making Sense of Sgarbossa’s Criteria – Chest Pain and Left Bundle Branch Block – Part 1 Making Sense of Sgarbossa’s Criteria – Chest Pain and Left Bundle Branch Block – Part 2 Making Sense of Sgarbossa’s Criteria – Chest Pain and Left Bundle Branch Block – Part 3

This series has been updated and moved. Making Sense of Sgarbossa’s Criteria – Chest Pain and Left Bundle Branch Block – Part 1 Making Sense of Sgarbossa’s Criteria – Chest Pain and Left Bundle Branch Block – Part 2 Making Sense of Sgarbossa’s Criteria – Chest Pain and Left Bundle Branch Block – Part 3

Welcome to the second installment in our ECG Mixtape series! It looks like this will be an irregular publication while we streamline our process of picking cases and getting permission to reproduce them. Enjoy! Pick of the Week This weeks top pick comes from cardiologist Dr. Gianni Manzo in São Paulo, Brazil, who shared this […]

This article is the third in our latest series, The 12 Rhythms of Christmas, where each day we examine a new rhythm disorder. It’s a continuation of the theme behind last year’s 12 Leads of Christmas. This is a new edit of the first article I ever published on my personal blog, so it may […]

Ok, so I posted a 12 Lead ECG on Facebook this past Monday, June 2nd, 2014, which  generated some interesting comments and thoughts… EMS 12-Lead on Facebook: 67yom with Dyspnea and Diaphoresis  This ECG was obtained from a 67 year old male, complaining of difficulty breathing for the past 2 hours, and presented diaphoretic, with […]

This is the discussion for “70 Year Old Male: Short of Breath“. Tough case. Lots of excellent comments and observations from our readers. Right off the bat, the patient’s presentation offered a major distraction: the recent eye surgery resulting in the old “eye patch presentation”. Confounding the situation further was the lack of any cardiac […]

This the case of a 30 year old male, complaining of chest pressure 8/10 pain scale, for about a week. The patient was born with unknown cardiac complications, which led to multiple near death arrhythmias, which is why the patient has an on demand pacemaker/defibrillator in place. He also has a history of Hypertension (HTN), […]

This is the conclusion of the previous case: http://ems12lead.com/2014/01/87-yom-complaining-of-chest-pain-and-dyspnea/ So, as mentioned before, you obtain this 12 lead ECG: A few minutes later, the LIFEPAK 15 prints out another 12 lead ECG: Although the computer suggests Atrial fibrillation, this irregular tachycardia has a group beating pattern with presence of P waves prior the QRS complexes and […]

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