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79 y/o acute chf. Complains of chest pain and difficulty breathing. Audible rales and tripoding. Pt was put on cpap and an amiodarone drip prehospital.

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82 yo, dyspnea on exertion. What are your thoughts about her ECG?](https://app.figure1.com/case-detail/1ed5cc49-b6db-4ae5-bba4-950c8fb7b458)

Female patient in late 60's was brought into the ER by ambulance after found in respiratory depression. Narcan was administered to good effect. Vital signs were stable & WNL w/ a HR of 76, sinus rhythm w/ occasional PAC's. Pt. then began trying to vomit, and Brady-d down to a ventricular rate of 21, and displayed this full block for around 30 seconds until vomiting was over. Pt. has no cardiac hx](https://app.figure1.com/case-detail/2a94305d-2956-4024-9581-0f68fc4f2751)

50 yrs male, COPD , c/o retro sterna chest pain since 8 hours. Also c/o palpitations. His ECG . Repeat ECG after 1 hr same. Comments appreciated.](https://app.figure1.com/case-detail/482b996f-e4f3-4f58-a0b2-fa9505a6378f)

911 for elderly male cc weakness shortness of breath and exertional dyspnea (noted when moving pt to stretcher) denies orthopnea/PND wears CPAP at night; hx HTN DM & occasional a fib; BP 205/113 HR 75-100 SPO2 85 RA LS initially diminished throughout then reveal course crackles with audible wheezing pitting edema noted EKG as shown. Questions: monitor reads as NSR is this indeed NSR if not what is it? Can the rhythm explain the pt presentation? What is the dx & treatment? How do we pathophysiologically explain the BP? Students get in here!](https://app.figure1.com/case-detail/667f6560-f235-4ffe-8b6f-450be8459bfe)

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)