By Ray Fowler, MD
Professor of EM / EMS
UTSW / Parkland
Edited by Alex Koyfman, MD
45 male with intense epigastric pain radiating to his left arm with associated NV and diaphoresis.
55 female with crushing anterior chest pain and diaphoresis.
A sinus tachycardia is present in this 54 year old man with severe chest pain radiating to the left arm.
This is a narrow complex tachycardia in a 31 year-old female that is perfectly clock regular. There is no obvious atrial activity seen. The QRS is narrow.
This 65 year-old woman presents with lightheadedness and worsening dyspnea on exertion.
This 81 year old man had a syncopal episode. He presents a little confused, GCS 14 (lies with his eyes closed), and is “not right” per his wife. His BP is 110/76, and he has the cardiogram below.
This is an odd 12 lead ECG to have done in this 54 year old man. The rate is profoundly slow, in the 20’s or so. The rhythm is regular. There is no evident atrial activity. The QRS is very widened.