Hyperacute T-waves

Results:
Weekly Workout February 3, 2025
Respect the T Wave: Early Clues to Cardiac Ischemia

A 54-year-old man presents to the emergency department with chest pain concerning for an acute coronary syndrome. An initial ECG is performed on arrival and appears normal, the following repeat…

ECG STAT January 17, 2025
Hyperacute T Waves (OMI Pattern)

Key Points Complexity of ACS: Arteries can spontaneously reperfuse or re-occlude. Understanding early ECG patterns of acute ischemia can help detect dynamic changes and prompt rapid interventions. ECG Pattern Recognition:…

Weekly Workout January 13, 2025
Hyperacute T Waves: Distinguishing Early MI from Other Big T Wave Abnormalities

A 64-year-old man with PMHx of HTN, DM, and tobacco use presents with central chest pain that radiates to his left arm. The following ECG is obtained on arrival:

ECG STAT December 14, 2024
T Wave Basics (ventricular repolarization)

Key Points Definition: T waves represent ventricular repolarization, the process by which the heart’s ventricles reset electrically after a heartbeat. Normal Characteristics: A normal T wave is upright in most…

Weekly Workout September 16, 2024
Timeless ECG Lessons: Revisiting Classic Cases and Life Saving Interpretations

A 37-year-old man with no significant past medical history presents to the emergency department with acute chest pain and shortness of breath after a meal. He suspects he is having…

Weekly Workout June 24, 2024
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:

Weekly Workout May 22, 2023
Hyperacute T waves and serial ECGs in early ACS, AV blocks, and more on sustained vs. nonsustained ventricular tachycardia

An 80-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained:

Weekly Workout February 27, 2023
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:

Weekly Workout November 6, 2022
Literature Review: 2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department Highlights

A 60-year-old man is brought into the emergency department by EMS for acute onset chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained on…

Weekly Workout December 7, 2020
Bifascicular blocks, trifascicular blocks, electrocardiographic polyuria, and much more!

A 65-year-old man presents to the ED chest pain worse with sitting up and exertion. The following ECG is obtained:

Weekly Workout November 30, 2020
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:

Weekly Workout August 3, 2020
STAT ECG Diagnoses: why you should never trust the computer ECG interpretation, even when it reads “normal ECG”!

A 71-year-old male is being transported to the ED for acute chest pain. The following prehospital EMS ECG is transmitted:

Weekly Workout December 2, 2019
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:

Weekly Workout September 30, 2019
Differential Diagnoses: poor R wave progression and attention to T wave abnormalities

A 55-year-old woman presents with substernal chest pressure radiating to the left upper extremity, dyspnea, and nausea. She has a past medical history of HTN, DM, HLD, and is a…

Weekly Workout July 22, 2019
ECG Basics & Fundamentals: Hyperacute T waves

A 59-year-old male presented to the emergency department with chest pain. The following ECG is obtained:

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 January 7, 2019
ECG Basics & Fundamentals: respect the T waves!

A 29-year-old male presents to the emergency department with a mild headache and dyspnea. He is an avid cyclist who biked 40 miles the day before. His exam is normal….

Weekly Workout October 8, 2018
ECG Basics and Fundamentals: how many STEMI patients present with nondiagnostic initial ECGs?

HPI:  A 52-year-old male with PMHx of HTN & HLD presents to the ED with chest pain and shortness of breath. He looks uncomfortable on exam and is hypertensive. The…

Weekly Workout June 11, 2018
STAT ECG Diagnoses: ECG findings that preceed ST segment elevation in acute coronary syndromes

A 70-year-old man presents to the ED with right sided chest pain that radiates to the left. His pain started while running to catch the subway, and is associated with…

ECG Tags
Loading...