Asanka Migelheva

26 year old pregnant lady 26 weeks of POA with severe epigastric pain -Acute pancreatitis confirmed with lipase 6000+ ECG as below ( no ECGs to compare ) Thoughts

35 year old male coming with intermittent sharp episodic chest pain for the last 3 days duration Trop 1000— peaking to 4000 ECHO normal Angio mild muscular bridge on LAD What do you make of the ECG and presumptive Dx?

@ElsevierHealth 2 months since ordering Cases in Pre-Hospital and Retrieval Medicine, 2e (20 Nov 2025, Order #0130053513). Followed up 1 month ago, but no update to date. I’d appreciate urgent escalation.#CustomerExperience

Mobitz type 11 or complete heart block ?

This patient had a Saddle PE needing urgent thrombolysis Would suspect a PE looking at his ECG ?

72 F Acute onset chest pain Value of serial ECGs (this change was over an hour ) Anything suspicious in the first ECG about what was coming?

Culprits were LAD and D1

Culprit artery/arteries ?

@Elb3001 Any other artery ?

@AMigelheva LAD

We were thinking of AVRT as likelyDx , but his cardiologist had the impression to be Atrial flutter with 1.1

15 year old boy, acute onset palpitation with marginal BPs BG left Hypo-plastic heart heart syndrome with 4 reversion surgeries

I would label this as an essentially normal Looking EKG He had a RV strain feature on bed side ECHO and CTPA confirmed a saddle PE which was thrombolysed

This was a interesting case, 72 year old male recent CABG 12 hours history of progressive SOB with pleuritic type of chest pain

CT Angio was normal , confirmed Takotsubo cardiomyopathy

53 year old female presenting central crushing chest pain ,has been on going for 12 hours now

Bed side ECHO was convincing for stress induced cardiomyopathy (Taskotsubo typical variation ) Waiting for coronary Angio will update with the results

72 year old female complaining of progressive Shortness of breath for few days What is your main concern with her ECG ?

Presumptive Dx of WPW Had a CT which showed Evidence of calculus cholecystitis explaining his symptoms

38 year old male coming with acute onset lower chest and epigastric pain for few hours First Trop was negative at 1.5 hours

Atrial bigeminy it is

72 year old male coming with episodic lightheadedness Thoughts?

62 year old male presenting with one month Hx of progressive lower limb swelling and shortness of breath What does the ECG tells ?