Weekly Workout June 20, 2022
ECG Basics and Fundamentals: subtle early signs of acute cardiac ischemia

A 57-year-old man presents to the emergency department with chest pain concerning for MI. The following ECG is obtained with no prior ECGs available for comparison. Cardiology is contacted and…

Weekly Workout June 12, 2022
Literature Review: the value of a recent negative stress test in the evaluation of acute coronary syndromes (ACS)

A 55-year-old woman presents to the emergency department with severe recurrent chest pain and shortness of breath associated with sweating. She reports being at a different hospital 3 days ago…

Weekly Workout May 29, 2022
Potpourri of cases: diffuse subendocardial myocardial ischemia with ST segment elevation in aVR and diffuse ST segment depressions, the ECG findings in severe hyperkalemia, Wellens syndrome, and more!

A 39-year-old male with PMHx of HTN presents to the ED with severe chest pain and abdominal pain. The following ECG is obtained:

Weekly Workout August 26, 2019
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…

Weekly Workout May 20, 2019
Literature Review: safety of computer interpretation of normal triage electrocardiograms

A 64-year-old male with PMHx of hypertension and hyperlipidemia presents to the ED with chest pain associated with vomiting and shortness of breath. The patient looks sick. The following ECG is…

Weekly Workout February 12, 2018
ECG Basics & Fundamentals: can young patients have an MI?

HPI: 24-year-old male presents to the ED with chest pain. He has no known cardiac risk factors. Pain is constant for the past hour and he is noted to be…

Weekly Workout March 27, 2017
STAT ECG Diagnoses: new T wave inversion or ST segment depression in aVL

A 66-year-old man presents to the ED with retrosternal chest pain that is associated with nausea. The following ECG is obtained:

Weekly Workout February 26, 2017
ECG Basics & Fundamentals: when a T wave inversion in lead aVL matters

A 45-year-old woman presents to the ED with severe heartburn. Her pain is associated with dyspnea and diaphoresis. The following ECG is obtained:

Weekly Workout January 16, 2017
4 challenging EMS cases to help you nail the diagnosis

A 60-year-old male calls EMS for nausea and vomiting. He is found to be hypotensive in the field with a blood pressure of 75/40 mmHg. The following ECG is obtained:

Weekly Workout November 23, 2015
DIfferential Diagnoses: subtle but deadly causes of syncope to consider

A 56-year-old woman presents to the ED with chest pain and has a syncopal episode prior to arrival. She has a past medical history of hypertension, hyperlipidemia, is a smoker,…

Weekly Workout January 5, 2015
ECG Basics & Fundamentals: A stepwise approach to ECG interpretation in patients with chest pain and clinical concern for an acute coronary syndrome (ACS) with pearls and pitfalls in obtaining chest pain histories

HPI: 61 year old male with significant cardiac risk factors presents with chest pain that that radiates down both arms. The pain is exertional and improves with rest. His pain…

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