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…
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:…
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:
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…
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…
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:
An 80-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained:
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:
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…
A 65-year-old man presents to the ED chest pain worse with sitting up and exertion. The following ECG is obtained:
A 64-year-old man presents to the ED with dyspnea and chest pain. The following ECG is obtained:
A 71-year-old male is being transported to the ED for acute chest pain. The following prehospital EMS ECG is transmitted:
An elderly male presents to the ED with 2 hours of chest pain concerning for cardiac ischemia. The following ECG is obtained:
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…
A 59-year-old male presented to the emergency department with chest pain. The following ECG is obtained:
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…
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….
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…
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…