Hyperacute T-waves
Results:
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…
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…
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:
OMI Pattern: Hyperacute T waves
Key Points Complexity of ACS: The pathophysiology of ACS is complex and dynamic, with occluded arteries potentially undergoing reperfusion and reocclusion at any time. ECG Pattern Recognition: Mastering the recognition…
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:
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:
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…
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:
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:
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:
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:
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…
ECG Basics & Fundamentals: hyperacute T waves
A 59-year-old male presented to the emergency department with chest pain. The following ECG is obtained:
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…
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….
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…
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 Basics & Fundamentals: chest pain in young patient with no known cardiac risk factors
A 35-year-old man with no PMHx presents to the ED with dull burning chest pain that radiates to his left arm. The following ECG is obtained:
Cardiac arrest after this ECG: what is the most likely cause?
A 60-year-old man presents to the ED with midsternal chest pain that has been intermittent throughout the day. He collapses on arrival and suffers a cardiac arrest from which he…
ECG Tags
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- No clear P waves DDx
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- normal
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