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Acute Anterior STEMI or Left Ventricular Aneurysm?

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What do you think of this patient’s 12-lead ECG?

Not So Fast!

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The January 2011 EMS 12-Lead column has been posted at EMS1.com. Not So Fast! Enjoy!

Chest pain, acute STEMI, and EMS-witnessed VF arrest – Part 2

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This is Part 2 of Chest pain, acute STEMI, and EMS-witnessed VF arrest.  Let’s take another look at the patient’s heart rhythm. I can see why some of you thought this was Torsades de Pointes but the cyclic rate is over 300 and the underlying rhythm showed a normal QTc. It’s not unusual for the onset of VF […]

iPhonECG turns the iPhone 4 into a cardiac event monitor

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Here's an awesome new invention by Seattle-based AliveCor. The iPhonECG turns the iPhone 4 into a wireless, clinical quality cardiac event monitor! This is an invention that I have been waiting for! The special case and app will retail for under $100.00 U.S.D. and makes its debut at the Consumer Electronics Show (CES) in Las […]

Chest pain, acute STEMI, and EMS-witnessed VF arrest – Part 1

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Here’s an interesting case I originally found on the UK Ambulance Forum. It was submitted by Phil who is a citizen of the UK working in Australia as an Intensive Care Paramedic. EMS is called to the residence of a 63 year old male with a chief complaint of chest pain. The patient was found […]

80 year old male CC: Chest pain – Conclusion

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This is Part II of the conclusion to 80 year old male CC: Chest pain. For Part I see Excessive discordance as a marker of acute STEMI in LBBB. First, let’s take another look at the initial 12-lead ECG. The first thing that catches my eye in this ECG is the strange morphology of the ST-segments […]

Excessive discordance as a marker of acute STEMI in LBBB

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Positively deflected QRS complexes can be expected to show ST-depression and inverted T-waves.

80 year old male CC: Chest pain

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Here’s a case submitted by a faithful reader who wishes to remain anonymous. It’s a great case and destined to be one of my favorites! EMS is called to evaluate a 80 year old male patient with a chief complaint of chest pain. On arrival the patient is found sitting on his living room couch. […]

Why learn axis?

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Jeff Beeson, DO, LP once said, “The eyes cannot see that which the mind does not know.” Without a proper understanding of axis you cannot really see a 12-lead ECG. Once you fully understand axis it gives you a vocabulary that allows you can take ECG interpretation to the next level. It doesn’t help that […]

67 year old male CC: Chest Pain

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Here’s a case study submitted by a faithful reader named Brian from Southern California. This patient is a 67 year old male with a cheif complaint of chest pain. Upon arrival EMS found the patient is found sitting in a reclining chair. He is alert and oriented to person, place, time, and event. He appears […]

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