Weekly Workout June 5, 2022
Potpourri of cases: using Sgarbossa criteria to diagnose acute occlusion myocardial infarction in LBBB and RV pacers, bizzare bradycardias, and so much more!

A 70-year-old male with PMHx of HTN, HFrEF, and atrial fibrillation presents to the ED with nausea and lightheadedness. He is noted to be bradycardic on arrival. The following ECG…

Weekly Workout January 30, 2022
STAT ECG Diagnoses: ventricular conduction in atrial flutter

 A 92-year-old man is brought into the ED with near syncope and lightheadedness. He mentions he has been non-compliant with his medications, but history is otherwise limited. He is found…

Weekly Workout January 23, 2022
Rhythm Interpretation: differential diagnoses for electrocardiographic polyuria in unstable bradycardias

An 88-year-old man is brought into the ED with lightheadedness and palpitations.  The following ECG is obtained: 

Weekly Workout January 16, 2022
Bradyarrhythmias: differentiation of Mobitz and other atrioventricular (AV) blocks

An 83-year-old woman is brought into the ED with lightheadedness and is noted to be bradycardic. The following ECG is obtained: 

Weekly Workout February 10, 2020
STAT ECG Diagnoses: bradycardia, renal failure, AV nodal blockade, shock, and hyperkalemia

A 54-year-old female presents to the ED with generalized weakness and malaise. She has multiple medical problems and is taking several prescribed medications including aspirin, metoprolol, and warfarin. She recently…

Weekly Workout July 15, 2019
ECG Basics & Fundamentals: the ECG findings of hypothermia

An 80-year-old male with a history of HTN, atrial fibrillation and an unknown “kidney problem” presents to the ED after being found unresponsive at home by his son. He was…

Weekly Workout June 10, 2019
Bradydysrhythmias: a differential for too many P waves and a lesson in how to break down difficult rhythms

An 81-year-old female presents to the ED with lightheadedness and “funny heart beats”. She has no associated dyspnea and is noted to have normal vital signs. The following ECG is…

Weekly Workout April 22, 2019
Rhythm Interpretation: is the PR interval constant, lengthening, or randomly changing?

 A 78-year-old woman presents to the emergency department after an episode of syncope. The following ECG is obtained:

Weekly Workout January 21, 2019
Bradydysrrhytmias: altered mental status, hypotension, and not able to transcutaneously pace

A 50-year-old male is brought into the emergency department from prison with bradycardia, hypotension, and altered mental status. Medics started IV fluids and treated with atropine with no response prior…

Weekly Workout August 27, 2018
STAT ECG Diagnoses: what to do when advanced life support (ACLS) does not work

A 40-year-old man is brought to the ED moribund with agonal respirations, hypotension (SBP~50) and bradycardia. The following ECG was obtained and ACLS started with no response to atropine or…

Weekly Workout November 28, 2016
Bradyarrhthmias: considerations in unstable patients with discussion on an important causes of refractory bradycardia

 A 42-year-old woman presents to the ED with decreased level of consciousness after a seizure. She has no obvious signs of trauma, and vitals signs are normal except for marked…

Weekly Workout January 4, 2016
What is the cause of these slurred and downsloping ST segments?

A 56-year-old man with PMHx of atrial fibrillation presents to the ED with generalized weakness and near-syncope. He is found to be hypotensive and bradycardic. The following ECG is obtained:

Weekly Workout March 2, 2015
ECG Basics & Fundamentals: a systemactic approach to ECG interpretation

HPI:  A 78-year-old male presents to the ED complaining of generalized weakness. Case ECG

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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