Artifact
Results:
Understanding ECG Artifacts
Key Points Artifacts = non-cardiac signals that distort or obscure true ECG. They come from the patient, leads/equipment, or the environment. Clues to artifact: lacks a physiologic pattern, varies beat-to-beat…
When One Lead Stands Alone: Deciphering Bizarre ECG Abnormalities
A 67-year-old woman with PMHx of HTN, DM, and ESRD presents to the emergency department drowsy and non-cooperative. Her blood sugar is elevated, pH 7.23, and there is concern for…
Subtle ECG Changes and Diagnostic Challenges
A 70-year-old male presents to the emergency department with acute chest pain that sounds ischemic in nature. The following baseline ECG, arrival ECG, and repeat ECGs are obtained:
Shock first and ask questions later?
An elderly woman with a past medical history of hypertension, diabetes, and Parkinson’s disease presents to the ED with hip pain after a fall. Her blood pressure and mental status…
2024 EMS Cases Part I
A 64-year-old man is being brought in by EMS for chest pain and shortness of breath. The following EMS ECG is obtained:
Wide Complex Tachycardias: distinguishing malignant arrhythmias from their mimics
A 65-year-old woman with PMHx of Parkinson’s disease presents to the emergency department after an episode of syncope. She continues to feel unwell on arrival and appears diaphoretic, blood pressure…
Rhythm interpretation: when to worry about cardiac rhythm strips
A 55-year-old woman with PMHx of CHF presents to an urgent care facility with shortness of breath, orthopnea, and weight gain after running out of her diuretics for the past…
ECG Basics and Fundamentals: a condition that is commonly misdiagnosed at polymorphic ventricular tachycardia (PMVT), torsades de pointes, and ventricular fibrillation
A 55-year-old woman presents to the ED with mild to moderate COVID pneumonia. She reportedly had a syncopal episode while on a bed pan. The following rhythm strip was obtained…
STAT ECG Diagnoses: getting rhythm strips right and knowing when acute intervention is needed
A 66-year-old man is transferred to the ED from an urgent care where he presented for shortness of breath and was diagnosed with heart failure. He was recently discharged s/p…
ECG Basics & Fundamentals: how common is artifact?
A 72-year-old man presents to the ED with near-syncope. During his evaluation he has a 20-second run of the following rhythm captured on 12-lead ECG monitoring:
A specific tachyarrhythmia with an excellent prognosis
A 79-year-old man presents to the ED with intermittent episodes of decreased level of consciousness. He is placed on continuous 12-lead cardiac monitoring during his evaluation and a monitor alarm…
Rhythm Interpretation: the importance of patient assessment in managing malignant arrhythmias
A 74-year-old woman presents to the ED with shortness of breath. She has been taking azithromycin for cough. The following ECG is obtained:
2016 ECG Competition Answers (Part 1/2)
This week we review the answers to the first 6 cases from the 4th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before you watch the video! Video…
ECG findings in hypothermia
A 77-year-old male is brought into the ED after being found unconscious in his home. The following prehospital ECG was obtained and compared to an old normal ECG:
STAT ECG Diagnoses: how would this prehospital rhythm strip change your management?
A 10-year-old male is transported to your ED for recurrent seizures. The following prehospital rhythm strip was obtained:
Wide Complex Tachycardias: what is the difference between polymorphic ventricular tachycardia and torsades des pointes
A 13-month-old female is transferred to you for intermittent torsades/dysrhythmias from a community ED. She has been slightly lethargic and has a cardiac history of VSD, ASD, and a PDA…
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- Occlusion MI - STEMI Criteria & Beyond
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- OMI Pattern: ST Depression V1-V4
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- pericarditis vs acs
- Pericarditis vs. STEMI
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- PR interval
- PR segment
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- precordial lead misplacement
- precordial swirl
- preexcitation
- preexcitation syndrome
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- Prehospital ECG
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- Premature beats
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- proportionality
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- rate & rhythm
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- Recommended ECG Books
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- Rhythm Interpretation
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- Right Axis Deviation + STE Differential
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- Right Ventricular Hypertrophy
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- segments
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- sick sinus syndrome
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- Sinoatrial Nodal Reentry Tachycardia
- Sinoatrial Nodal Reentry Tachycardia (SANRT)
- Sinus arrest
- sinus arrhythmia
- sinus bradycardia
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- Sinus Node Dysfunction (Sick Sinus Syndrome
- sinus rhythm
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- Sloof Lirpa Sign
- Slow Atrial fibrillation
- slow ventricular tachycardia
- slow vt
- Sodium channel blocker toxicity
- South Africa
- South Africa sign
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- spiked
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- spiked-helmet
- Spodick Sign
- Spodick’s Sign
- Spontaneous Coronary Artery Dissection
- Spontaneous Coronary Artery Dissection (SCAD)
- ST
- ST depression
- ST depression differential
- ST Depression in V1-V4 DDx
- ST depression V1-V4
- ST Elevation
- ST Elevation DDx
- ST Elevation in aVR DDx
- ST segment elevation
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- ST-segment
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- Start high-quality CPR.
- stat
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- STD
- STE
- STE differential diagnosis
- STE in aVR
- steeple sign
- Steeple sign in V1
- STEMI
- STEMI Criteria
- STEMI Criteria & STEMI Equivalent Patterns
- STEMI diagnosis
- STEMI equivalent
- STEMI equivalents
- STEMI mimics
- STEMI vs. acute pericarditis
- STEMI vs. Early repolarization
- STEMI vs. Severe Hyperkalemia
- stepwise approach
- strain
- Stress Testing
- Stress tests
- Stress-Induced (Takotsubo) Cardiomyopathy
- Student Level Curriculum
- Subtle ST elevation
- Subtle ST Segment Elevation (STE)
- subtle stemi
- Supraventricular tachycardia
- Supraventricular Tachycardia (SVT)
- Sustained VT
- SVT
- sympathomimetic
- synchronization
- Syncop
- Syncope
- syncope ddx
- syncope differentials
- syncope emergencies
- Systematic approach to ECG
- T wave
- T wave inversion differential
- T Wave Inversion in V1-V3 DDx
- T wave inversions in V1-V3
- T wave morphology
- T-wave abnormalities
- T-wave alternans
- T-wave inversion
- T-wave inversions
- T-waves
- Tachycardia
- Takotsubo Cardiomyopathy
- Takotsubo Cardiomyopathy vs. STEMI
- Tall R wave in aVR
- Tall R wave in V1
- Tamponade
- TCA
- TCA overdose
- TCA toxicity
- TdP
- Tension Pneumothorax
- Terminal QRS distortion
- Terminal QRS Distortion (OMI Pattern)
- the basics
- The Bix Rule
- The Bix Rule – Unmasking Atrial Flutter
- The Curriculum
- third degree AV block
- Third-Degree AV Block (Complete Heart Block)
- Thrombolytics
- tombstone
- tombstoning
- too many P waves
- Too Many P Waves (P:QRS>1) DDx
- Top 10 cases of the past 10 years
- Torsades
- Torsades de pointes
- Torsades de Pointes risk
- torsades de points
- Toxicologic Emergencies
- Toxicology
- TP segment
- Transient STEMI
- Tremor artifact
- trifascicular block
- Trigeminy
- Troponin
- troponins
- TWI
- Twiddler’s syndrome
- Type A Wellens
- Type B Wellens
- U-waves
- Understanding ECG Artifacts
- unifascicular
- unstable angina
- Unstable Bradyarrhythmias
- unstable bradycardia
- Unstable Bradydysrhythmias
- unstable tachyarrhythmia
- unstable tachycardia
- Unstable Tachydysrhythmias
- Upright T waves in V1
- urgent cath
- V1
- v1-v2 placed too high
- V1/V2
- vasospasm
- Ventricular aneurysm
- Ventricular dysrhythmias
- ventricular escape rhythms
- Ventricular fibrillation
- Ventricular Fibrillation (VF) Arrest
- ventricular fibrillation mimics
- Ventricular Flutter
- Ventricular Flutter (V-Flutter)
- Ventricular rhythm
- Ventricular rhythms
- Ventricular Tachycardia
- Ventricular Tachycardia (VT)
- Ventricular tachycardia mimics
- Ventricular tachycardia vs. SVT with aberrant conduction
- Ventricular Tachycardiak
- Vereckei aVR
- VF
- voltage
- VT
- VT mimics
- VT vs. SVT with Aberrancy
- w Voltage
- waveforms
- waves
- WCT
- Wellens
- Wellens waves
- Wellens’ syndrome
- Wide & Regular Tachydysrhythmia DDx
- wide complex irregular tachycardia
- Wide complex QRS
- wide complex regular tachycardia
- Wide complex tachycardia
- Wide QRS
- Wide QRS (BBBs & Paced Rhythms) vs. STEMI
- wide qrs bradycardia
- Wide QRS Complex DDx
- wide qrs differential
- Wide QRS interval
- wide vs. narrow QRS
- Wolff Parkinson White
- Wolff-Parkinson White (WPW) Syndrome
- WPW
- wpw syndrome
- WPW syndrome and Pseudo-MI patterns
- WPW vs STEMI
- WPW with Antidromic SVT
- WPW with atrial fibrillation
- WPW with Orthodromic SVT
- WPW with SVT
- Yamaguchi
- Yamaguchi (Apical) Hypertrophic Cardiomyopathy
- Yamaguchi syndrome
- Young patients
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