When is Wellens' not Wellens'? What mimics it? Pseudo-Wellens’, a similar pattern to Wellens’, results in abnormal T waves, due to left ventricular hypertrophy(LVH) or other causes. In a patient … [Read more...] about What is Pseudo-Wellens’ Syndrome?
A Case from the literature A 60 you woman with a past medical history of diabetes presents with shortness of breath. An ECG is done. What is the abnormality? The only real abnormality to be … [Read more...] about T wave inversion in aVL to predict early ischaemia
Introduction When we assume that every wide complex tachycardia is Ventricular Tachycardia(VT) our sensitivity for picking up VT is 100%. In the emergency department setting, this is a must! We use … [Read more...] about The VT Score- 100% Specific in picking VT
A 19 yo male presents to the emergency department complaining of chest pain for nearly 12 hours. t was sudden and sharp in onset. It is in the centre of his chest. It started last evening whilst he … [Read more...] about A 19 yo with sharp chest pain
The Case A 40 yo is brought to the emergency department with the following vitals: GCS 4 SBP 70mmHg HR 140 RR 50 T 39C There are no signs of injury. Heart sounds are dual and no … [Read more...] about A 40 yo with depressed conscious state