ACS
Results:
STAT ECG Diagnoses: early ECG signs of cardiac ischemia and acute coronary occlusion
A 72-year-old woman is brought to the emergency department by EMS with acute chest pain and shortness of breath. The following ECG is obtained on arrival:
STAT ECG Diagnoses: the significance of inverted U waves
A 58-year-old man presents to the emergency department with acute onset chest pain and diaphoresis. The following ECG is obtained on arrival:
STAT ECG Diagnoses: antiarrhythmic considerations in patients with unstable irregular tachydysrrhythmias
A 29-year-old male with no significant known PMHx presents to the ED with palpitations. He is found to be markedly tachycardic on arrival. The following ECG is obtained:
Literature Review: diagnosis of acute coronary occlusion myocardial infarction in patients with ventricular paced rhythms
A 65-year-old woman presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
ECG Basics and Fundamentals: the basics of left bundle branch block (LBBB) and how to diagnose acute coronary occlusion myocardial infarction in these patients
A 65-year-old man presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
Literature Review: subtle early signs of cardiac ischemia and the value of serial ECGs in patients being evaluated for acute coronary syndromes (ACS)
A 47-year-old man is brought to the ED by EMS for acute onset left sided chest pain. The history is concerning for an acute coronary syndrome. The following ECG was…
STAT ECG Diagnoses: hyperacute T waves and other subtle but deadly ECG signs of acute coronary syndromes
A 64-year-old man presents to the ED with dyspnea and chest pain. The following ECG is obtained:
STAT ECG Diagnoses: left bundle branch block (LBBB) basics and expected findings with a focus on how to diagnose acute coronary occlusion myocardial infarction in these patients
A 85-year-old woman with a known history of LBBB presents to the ED with chest pain concerning for acute ischemia. The following ECG is obtained:
Literature Review: QRS fragmentation and pseudonormalization of T waves
A 64-year-old male with PMHx of HTN, DM, and obesity presents with chest pain radiating to the left arm. The following ECG is obtained, and compared to a previous ECG…
STAT ECG Diagnoses: QRS fragmentation and attention to ecopic beats to help diagnose acute cardiac ischemia on the ECG
A 78-year-old male with PMHx of HTN and DM presents with chest discomfort and diaphoresis while moving the lawn. The following ECG is obtained:
STAT ECG Diagnoses: diagnosis of acute myocardial infarction (MI) in patients with paced rhythms
An 86-year-old female with PMHx of CAD and pacemaker placement presents to the ED with acute chest pain. Pain has been radiating to the right upper extremity for 1 hour…
STAT ECG Diagnoses: what is the signifcance of a new T wave inversion in aVL?
A 45-year-old male presents to the ED with chest pain and shortness of breath. The following ECG is obtained:
STAT ECG Diagnoses: ventricular rhythms in patients being evaluated for acute coronary syndromes (ACS)
A 45-year-old male presents to the ED with chest pain and diaphoresis. He is being treated for a suspected MI and is noted to have a change in rhythm. The following…
Literature Review: can inverted U waves in the lateral leads predict heart disease?
A 58-year-old man presents with chest pressure and diaphoresis. The following ECG is obtained:
ECG Basics & Fundamentals: ventricular rhythms to be aware of in patients with cardiac ischemia
A 50-year-old man presents to the ED with ischemic chest pain concerning for acute MI. During his work up and observation, he clinically improves but is noted to have a…
STAT ECG Diagnoses: arrhythmias after thrombolysis for myocardial infarction (MI)
An 86-year-old man presents to the ED with substernal chest pressure, diaphoresis, and vomiting. The following ECG is obtained:
ECG Basics & Fundamentals: new tall upright T waves in lead V1
A 53-year-old woman with PMHx of HTN and DM presents with atypical chest pain. She is noted to have a completely normal baseline ECG. The following ECG is obtained:
STAT ECG Diagnoses: how identification of ECG signs of early ischemia can effect disposition decisions in the emergency department
An elderly male presents to the ED with 2 hours of chest pain concerning for cardiac ischemia. The following ECG is obtained:
STAT ECG Diagnoses: early reciprocal changes in patients with cliinical concern for ACS
A 87-year-old man reports having 2 days of central chest pain. He starts feeling worse on day 3 and calls an ambulance. Paramedics respond and are highly concerned for ACS…
ECG Basics & Fundamentals: hyperacute T waves
A 59-year-old male presented to the emergency department with chest pain. The following ECG is obtained:
ECG Tags
- 11th Annual UMEM ECG Competition
- 1st degree AV Block
- 1st degree AVB
- 2:1 AV Block
- 2:1 AVB
- 2015 ECG Competition
- 2015 ECG Competition Part II
- 2016 ECG Competition
- 2017 ECG Competition Part II
- 2018 ECG Competition Part II
- 2019 ECG Competition
- 2020 ECG Competition
- 5 Step Approach
- 5-FU
- aberrancy
- Aberrant conduction
- Accelerated idioventricular rhythm
- Acidosis
- ACS
- ACS mimics
- ACS RIsk Factors
- Acute MI
- Acute Pericarditis
- Adenosine sensitive VT
- Advanced AV block
- Afib
- Afib with WPW
- AIVR
- AMI
- Amiodarone
- Anemia
- Anterior STEMI
- Aortic Dissection
- Approach to ECG
- Approach to ECG interpretation
- April Fools
- Arrhythmogenic right ventricular cardiomyopathy
- Arrhythmogenic right ventricular dysplasia/cardiomyopathy
- Arrhythmogenic RV Dysplasia
- Artifact
- ARVC
- ARVD
- ASD
- Ashman phenomenon
- Aslanger
- Aslanger's Pattern
- Atherosclerosis
- Athlete’s ECG
- atrial arrhythmias
- Atrial dysrhythmias
- Atrial fibrillation
- Atrial Fibrillation with WPW
- Atrial flitter
- Atrial flutter
- Atrial parasystole
- Atrial septal defect
- Atrial tachycardia
- Atrifact
- AV Block
- AV Blocks
- AV Dissociation
- AVB
- AVD
- aVL
- aVR
- Axis
- Barcelona criteria
- Basics
- BBB
- Benign early repolarization
- BER
- bigeminy
- Biphasic T-waves
- Bix rule
- Bizzare rhythm
- Blocked PAC’s
- Board review
- Bradycardia
- BRASH syndrome
- Brugada
- Brugada Pattern
- Brugada syndrome
- CAD
- Cardiac arrest
- Cardiac tamponade
- Cardioversion
- CCB toxicity
- CHB
- Chemotherapy
- Chest Pain
- clumped beats
- Cocaine toxicity
- Complete Heart Block
- Computer ECG interpretation
- Computer interpreted ECGs
- Computer interpreted electrocardiograms
- coronary angiography
- COVID-19
- Crochetage
- Crochetage pattern
- de Winter T-wave
- de Winter T-waves
- Delta waves
- deWinter
- deWinter T-waves
- Dextrocardia
- Diffuse ST elevation
- Diffuse ST-segment Elevation
- Diffuse STE
- Digoxin effect
- Digoxin toxicity
- DKA
- Dysrhythmia
- Dysrhythmias
- Early cardiac ischemia
- Early ECG evidence of ischemia
- Early ischemia
- Early ischemic changes
- Early reciprocal changes
- Early Repolarization
- early repolarization vs/ STEMI
- early signs of cardiac ischemia
- early signs of ischemia
- ECG Basics
- ECG Competition 2023
- ECG interruptions
- Ectopic atrial rhythm
- Ectopic beats
- electrical alternans
- Electrical storm
- Electrocardiographic polyuria
- Electrolytes
- Elevated intracranial pressure
- Emergent cath lab activation
- EMS
- EMS cases
- Epsilon waves
- escape rhythm
- Evolving STEMI
- Fascicular blocks
- GERD
- grouped beats
- Guidelines
- Heart block
- High grade AV block
- high grade AV blocks
- high lateral STEMI
- High Voltage
- Himalayan T-waves
- History of presenting illness
- HOCM
- Hypeacute T waves
- Hyperacute T-waves
- Hypercalcemia
- Hyperkalemia
- hyperkalemia mimics
- Hyperkalemic Periodic Paralysis
- Hypertrophic Cardiomyopathy
- Hypertrophic obstructive cardiomyopathy
- Hypocalcemia
- Hypokalemia
- Hypothermia
- Idioventricular rhythms
- Impressive syndrome
- inferior STEMI
- Intermittent WPW
- Intracranial hemorrhage
- Intractable chest pain
- inverted P Waves
- Inverted U-waves
- IRBBB
- Irregular rhythm
- irregular rhythms
- Ischemia
- Ischemic T-waves
- Isoelectric baseline
- Isoelectric segment
- Isolated Posterior STEMI
- Isorhythmic AV dissociation
- Isorhythmic AVD
- J point
- J wave
- J-waves
- junctional rhythm
- Junctional rhythms
- Juvenile T wave inversions
- Juvenile T-wave pattern
- LAD
- LAFB
- Large T-waves
- LBBB
- lead misplacement
- lead V1
- Left axis deviation
- left posterior fascicular block
- Lewis lead
- LGL
- limb lead misplacement
- Limb lead reversal
- Literature review
- Long QT
- Long QT-interval
- Long QTc
- long ST segment
- Low Voltage
- Low voltage QRS
- LPFB
- LVAD
- LVAD Dysrhythmias
- LVADs
- LVH
- LVH with strain pattern
- Lyme carditis
- Marijuana
- Massive STEMI
- MAT
- Mechanisms of ACS
- MI
- Mobitz
- Mobitz conduction
- Mobitz I
- Mobitz II
- Mobitz II AV block
- Modified Sgarbossa criteria
- monomorphic VT
- Multifocal atrial tachycardia
- Myocarditis
- Myxedema
- Na channel blocker toxicity
- narrow & irregular tachycardia
- narrow & regular tachycardia
- Narrow complex and regular rhythms
- Narrow complex irregular rhythms
- Narrow complex irregular tachycardia
- Narrow Complex Regular Tachycardia
- Narrow Complex Tachycardia
- Nikelekam T-waves
- non-conducted PACs
- Non-STE ACS
- Non-sustained Ventricular tachycardia
- Non-sustained VT
- Nonspecific intraventricular conduction delay
- nonsustained ventricular tachycardia
- Normal ECG
- Normal Sinus Rhythm
- Normal variant patterns
- normal variant ST elevation
- Normal variants
- NSVT
- Occlusion MI
- OMI
- Osborn waves
- overdose
- PAC
- PAC’s
- Paced rhythms
- Pacemaker
- Pacer
- palpitations
- Pauses and clumped beats
- PE
- PE vs. STEMI
- Pediatric ECG
- Pediatric ECG Interval Table
- Pediatrics
- Pericardial effusion
- Pericardial Tamponade
- Pericarditis
- Periodic paralysis
- Persistent juvenile T-wave pattern
- PFO
- plaque rupture
- plaque vulnerability
- Polymorphic Ventricular Tachycardia
- Polymorphic VT
- Polyuria
- Poor R-wave progression
- post arrest ECG
- post-arrest
- Post-arrest NSTE-ACS
- Post-arrest STEMI
- post-cardiac arrest ecg
- Posterior MI
- Posterior STEMI
- Potpourri
- PR segment
- PR segments
- Pre-hospital ECG
- preexcitation
- preexcitation syndrome
- Preexcitation syndromes
- Pregnancy
- Prehospital ECG
- Premature beats
- Premature complexes
- premature contractions
- Prolonged QT
- Prolonged QT interval
- prolonged QTc
- PRWP
- Pseudo Wellens
- Pseudo-Wellens waves
- Pseudonormalization of T-waves
- Pulmonary Embolism
- pulmonary hypertension
- PVC
- PVCs
- PVT
- Q-waves
- QRS fragmentation
- QRS-interval
- R waves
- R-on-T phenomenon
- R-wave
- R-wave in V1
- R-wave progression
- RAD
- rate & rhythm
- RBBB
- Really wide complex tachycardia
- reciprocal changes
- Reflux
- Regular Really Wide Complex Tachycardia
- Regular Wide Complex Tachycardia
- Regularized atrial fibrillation
- repolarization abnormalities
- Rescue PCI
- Resolved ST segment elevation
- Respiratory variation
- Retrograde P waves
- Revised Sgarbossa Criteria
- Rhythm
- Rhythm Interpretation
- Right axis
- Right Axis Deviation
- Right bundle branch block
- right heart strain
- Right sided leads
- Right Ventricular Hypertrophy
- Rightward axis
- rollercoaster T waves
- RRWCT
- RV MI
- RV STEMI
- RVMI
- RWCT
- S wave
- SAH
- Salvador Dali
- Seizure
- Seizures
- Septal STEMI
- Serial ECG
- Serial ECGs
- Severe hypothyroidism
- Sgarbossa
- Sgarbossa Criteria
- Shark fin morphology
- Shark fin STEMI
- Short PR interval
- Short QT
- Short QT interval
- Short QTc
- Sinus arrest
- sinus arrhythmia
- sinus rhythm
- Sinus rhythms
- Sinus Tachycardia
- Sloof Lirpa Sign
- Slow Atrial fibrillation
- Sodium channel blocker toxicity
- South Africa sign
- Spiked Helmet sign
- Spodick Sign
- Spodick’s Sign
- ST
- ST depression
- ST depression V1-V4
- ST Elevation
- ST segment elevation
- ST-segment
- ST-segment depression
- STD
- STE
- STE in aVR
- STEMI
- STEMI equivalent
- STEMI equivalents
- STEMI mimics
- STEMI vs. acute pericarditis
- STEMI vs. Early repolarization
- strain
- Stress Testing
- Stress tests
- Sustained VT
- SVT
- Syncop
- Syncope
- Systematic approach to ECG
- T wave inversion differential
- T-wave abnormalities
- T-wave alternans
- T-wave inversion
- T-wave inversions
- T-waves
- Tachycardia
- Tall R wave in V1
- Tamponade
- TCA
- TCA overdose
- TCA toxicity
- Terminal QRS distortion
- Thrombolytics
- Torsades
- Torsades de pointes
- torsades de points
- Toxicology
- TP segment
- Transient STEMI
- Tremor artifact
- Trigeminy
- Troponin
- TWI
- U-waves
- unstable bradycardia
- V1
- V1/V2
- vasospasm
- Ventricular aneurysm
- Ventricular dysrhythmias
- Ventricular fibrillation
- Ventricular rhythm
- Ventricular rhythms
- Ventricular Tachycardia
- Ventricular tachycardia mimics
- Ventricular tachycardia vs. SVT with aberrant conduction
- Ventricular Tachycardiak
- VF
- VT
- VT mimics
- w Voltage
- WCT
- Wellens
- Wellens waves
- Wellens’ syndrome
- Wide complex QRS
- wide complex regular tachycardia
- Wide complex tachycardia
- Wide QRS
- Wide QRS interval
- wide vs. narrow QRS
- Wolff Parkinson White
- WPW
- WPW with atrial fibrillation
- WPW with SVT
- Young patients
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