Pulmonary Embolism
Results:
Interesting Cases from UMMC, Part II
A 58-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained:
2024 EM Boards ECG Review Part I
A 61-year-old man with a history of atrial fibrillation presents to ABEM general hospital with lightheadedness and palpitations. He is tachycardic but otherwise has normal vital signs. The following ECG…
Differential Diagnoses: killer causes of T wave inversions that you gotta know!
A 48-year-old man presents to the emergency department with chest pain and shortness of breath. The following ECG is obtained on arrival:
Bradydysrhythmia: Does this patient need a permanent pacemaker?
A 63-year-old man presents to the emergency department with lightheadedness. He is noted to be bradycardic on arrival. The following ECG is obtained:
STAT ECG Diagnoses: the differentials to consider when dealing with ST segment elevation and an impressive syndrome
A 61-year-old woman presents the ED for evaluation of a possible acute stroke. She woke up unable to walk due to bilateral lower extremity weakness and is now also feeling…
Potpourri of cases: the most common ECG findings in pulmonary embolism, electrical alternans, and so much more!
A 72-year-old woman presents the ED with atypical chest pain. She is found to be mildly tachycardic. The following ECG is obtained:
Differential Diagnoses: the many causes of ST segment elevation
A 69-year-old woman presents to the ED with chest pain and shortness of breath. The following ECG is obtained:
STAT ECG Diagnoses: a patient transferred for suspected STEMI, what other etiologies could be causing this ST segment elevation?
A 24-year-old male with past medical history of paraplegia from severe multiple sclerosis is transferred from a nursing home for suspected STEMI. Transfer documentation reports a history of pleuritic chest…
2019 ECG Competition Answers (Part 2/3)
This week we review the answers to questions 7-11, & 13 from the 7th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red…
EMS ECGs: S1Q3T3, is it pathognomonic for acute pulmonary embolism
A 63-year-old woman presents to the emergency department with palpitations. The following ECG was obtained by EMS prior to arrival:
Differential Diagnoses: when STEMIs can present with right axis deviation
HPI: A 57-year-old with PMHx of HTN and cigarette smoking presents to the ED with chest pain and dyspnea. The following ECG is obtained: Case ECG Before watching this week’s…
Differential Diagnoses: considerations in patients with right axis deviation (RAD) and T wave inversions
HPI: An 86-year-old male with PMHx of MI, HTN, HLD, COPD, and CVA presents with abrupt onset chest pain, dyspnea, and nausea. Pain started a few hours ago, is non-radiating,…
Literature Review: aVR – The forgotten 12th lead
A 55-year-old man with PMHx of end stage renal disease on dialysis presents to the ED for fatigue and pain all over. He denies ischemic chest pain. The following ECG…
Literature Review: ECG findings in PE associated with hemodynamic instability and increased morbidity and mortality
An 80-year-old man is brought to the ED by EMS for chest pain and dyspnea. He is found to be tachypneic, tachycardic, hypoxic, with a blood pressure of 105/50. The…
2017 ECG Competition Answers (Part 2/2)
This week we review the answers to questions 7-14 from the 5th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red box…
ECG Basics and Fundamentals: must knows in patients with ST segment elevation in aVR
An 80-year-old man is brought to the ED by EMS for chest pain and dyspnea. He is found to be tachypneic, tachycardic, hypoxic, with a blood pressure of 105/50. The…
Differential Diagnoses: is this ECG pattern consistent with ACS or is there something else it could be?
A 59-year-old male with a PMHx of a HTN and anxiety presents the ED for progressive dyspnea on exertion over the past few weeks. He denies pain and appears comfortable….
EMS ECGs: common mimics of acute coronary syndrome (ACS) and STEMI
A 73-year-old male is being transported by EMS to your ED for acute onset chest pain. He has a systolic blood pressure of 80. A prehospital ECG is obtained and…
Differential Diagnoses: right axis deviation in patients with syncope
HPI: A 49-year-old male with a history of chronic back pain presents to the ED with syncope. He describes 3 similar episodes over the past week with preceding dizziness. The…
ECG Tags
- 11th Annual UMEM ECG Competition
- 1st degree AV Block
- 1st degree AVB
- 2:1 AV Block
- 2:1 AVB
- 2015 ECG Competition
- 2015 ECG Competition Part II
- 2016 ECG Competition
- 2017 ECG Competition Part II
- 2018 ECG Competition Part II
- 2019 ECG Competition
- 2020 ECG Competition
- 5 Step Approach
- 5-FU
- aberrancy
- Aberrant conduction
- Accelerated idioventricular rhythm
- Acidosis
- ACS
- ACS mimics
- ACS RIsk Factors
- Acute MI
- Acute Pericarditis
- Adenosine sensitive VT
- Advanced AV block
- Afib
- Afib with WPW
- AIVR
- AMI
- Amiodarone
- Anemia
- Anterior STEMI
- Aortic Dissection
- Approach to ECG
- Approach to ECG interpretation
- April Fools
- Arrhythmogenic right ventricular cardiomyopathy
- Arrhythmogenic right ventricular dysplasia/cardiomyopathy
- Arrhythmogenic RV Dysplasia
- Artifact
- ARVC
- ARVD
- ASD
- Ashman phenomenon
- Aslanger
- Aslanger's Pattern
- Atherosclerosis
- Athlete’s ECG
- atrial arrhythmias
- Atrial dysrhythmias
- Atrial fibrillation
- Atrial Fibrillation with WPW
- Atrial flitter
- Atrial flutter
- Atrial parasystole
- Atrial septal defect
- Atrial tachycardia
- Atrifact
- AV Block
- AV Blocks
- AV Dissociation
- AVB
- AVD
- aVL
- aVR
- Axis
- Barcelona criteria
- Basics
- BBB
- Benign early repolarization
- BER
- bigeminy
- Biphasic T-waves
- Bix rule
- Bizzare rhythm
- Blocked PAC’s
- Board review
- Bradycardia
- BRASH syndrome
- Brugada
- Brugada Pattern
- Brugada syndrome
- CAD
- Cardiac arrest
- Cardiac tamponade
- Cardioversion
- CCB toxicity
- CHB
- Chemotherapy
- Chest Pain
- clumped beats
- Cocaine toxicity
- Complete Heart Block
- Computer ECG interpretation
- Computer interpreted ECGs
- Computer interpreted electrocardiograms
- coronary angiography
- COVID-19
- Crochetage
- Crochetage pattern
- de Winter T-wave
- de Winter T-waves
- Delta waves
- deWinter
- deWinter T-waves
- Dextrocardia
- Diffuse ST elevation
- Diffuse ST-segment Elevation
- Diffuse STE
- Digoxin effect
- Digoxin toxicity
- DKA
- Dysrhythmia
- Dysrhythmias
- Early cardiac ischemia
- Early ECG evidence of ischemia
- Early ischemia
- Early ischemic changes
- Early reciprocal changes
- Early Repolarization
- early repolarization vs/ STEMI
- early signs of cardiac ischemia
- early signs of ischemia
- ECG Basics
- ECG Competition 2023
- ECG interruptions
- Ectopic atrial rhythm
- Ectopic beats
- electrical alternans
- Electrical storm
- Electrocardiographic polyuria
- Electrolytes
- Elevated intracranial pressure
- Emergent cath lab activation
- EMS
- EMS cases
- Epsilon waves
- escape rhythm
- Evolving STEMI
- Fascicular blocks
- GERD
- grouped beats
- Guidelines
- Heart block
- High grade AV block
- high grade AV blocks
- high lateral STEMI
- High Voltage
- Himalayan T-waves
- History of presenting illness
- HOCM
- Hypeacute T waves
- Hyperacute T-waves
- Hypercalcemia
- Hyperkalemia
- hyperkalemia mimics
- Hyperkalemic Periodic Paralysis
- Hypertrophic Cardiomyopathy
- Hypertrophic obstructive cardiomyopathy
- Hypocalcemia
- Hypokalemia
- Hypothermia
- Idioventricular rhythms
- Impressive syndrome
- inferior STEMI
- Intermittent WPW
- Intracranial hemorrhage
- Intractable chest pain
- inverted P Waves
- Inverted U-waves
- IRBBB
- Irregular rhythm
- irregular rhythms
- Ischemia
- Ischemic T-waves
- Isoelectric baseline
- Isoelectric segment
- Isolated Posterior STEMI
- Isorhythmic AV dissociation
- Isorhythmic AVD
- J point
- J wave
- J-waves
- junctional rhythm
- Junctional rhythms
- Juvenile T wave inversions
- Juvenile T-wave pattern
- LAD
- LAFB
- Large T-waves
- LBBB
- lead misplacement
- lead V1
- Left axis deviation
- left posterior fascicular block
- Lewis lead
- LGL
- limb lead misplacement
- Limb lead reversal
- Literature review
- Long QT
- Long QT-interval
- Long QTc
- long ST segment
- Low Voltage
- Low voltage QRS
- LPFB
- LVAD
- LVAD Dysrhythmias
- LVADs
- LVH
- LVH with strain pattern
- Lyme carditis
- Marijuana
- Massive STEMI
- MAT
- Mechanisms of ACS
- MI
- Mobitz
- Mobitz conduction
- Mobitz I
- Mobitz II
- Mobitz II AV block
- Modified Sgarbossa criteria
- monomorphic VT
- Multifocal atrial tachycardia
- Myocarditis
- Myxedema
- Na channel blocker toxicity
- narrow & irregular tachycardia
- narrow & regular tachycardia
- Narrow complex and regular rhythms
- Narrow complex irregular rhythms
- Narrow complex irregular tachycardia
- Narrow Complex Regular Tachycardia
- Narrow Complex Tachycardia
- Nikelekam T-waves
- non-conducted PACs
- Non-STE ACS
- Non-sustained Ventricular tachycardia
- Non-sustained VT
- Nonspecific intraventricular conduction delay
- nonsustained ventricular tachycardia
- Normal ECG
- Normal Sinus Rhythm
- Normal variant patterns
- normal variant ST elevation
- Normal variants
- NSVT
- Occlusion MI
- OMI
- Osborn waves
- overdose
- PAC
- PAC’s
- Paced rhythms
- Pacemaker
- Pacer
- palpitations
- Pauses and clumped beats
- PE
- PE vs. STEMI
- Pediatric ECG
- Pediatric ECG Interval Table
- Pediatrics
- Pericardial effusion
- Pericardial Tamponade
- Pericarditis
- Periodic paralysis
- Persistent juvenile T-wave pattern
- PFO
- plaque rupture
- plaque vulnerability
- Polymorphic Ventricular Tachycardia
- Polymorphic VT
- Polyuria
- Poor R-wave progression
- post arrest ECG
- post-arrest
- Post-arrest NSTE-ACS
- Post-arrest STEMI
- post-cardiac arrest ecg
- Posterior MI
- Posterior STEMI
- Potpourri
- PR segment
- PR segments
- Pre-hospital ECG
- preexcitation
- preexcitation syndrome
- Preexcitation syndromes
- Pregnancy
- Prehospital ECG
- Premature beats
- Premature complexes
- premature contractions
- Prolonged QT
- Prolonged QT interval
- prolonged QTc
- PRWP
- Pseudo Wellens
- Pseudo-Wellens waves
- Pseudonormalization of T-waves
- Pulmonary Embolism
- pulmonary hypertension
- PVC
- PVCs
- PVT
- Q-waves
- QRS fragmentation
- QRS-interval
- R waves
- R-on-T phenomenon
- R-wave
- R-wave in V1
- R-wave progression
- RAD
- rate & rhythm
- RBBB
- Really wide complex tachycardia
- reciprocal changes
- Reflux
- Regular Really Wide Complex Tachycardia
- Regular Wide Complex Tachycardia
- Regularized atrial fibrillation
- repolarization abnormalities
- Rescue PCI
- Resolved ST segment elevation
- Respiratory variation
- Retrograde P waves
- Revised Sgarbossa Criteria
- Rhythm
- Rhythm Interpretation
- Right axis
- Right Axis Deviation
- Right bundle branch block
- right heart strain
- Right sided leads
- Right Ventricular Hypertrophy
- Rightward axis
- rollercoaster T waves
- RRWCT
- RV MI
- RV STEMI
- RVMI
- RWCT
- S wave
- SAH
- Salvador Dali
- Seizure
- Seizures
- Septal STEMI
- Serial ECG
- Serial ECGs
- Severe hypothyroidism
- Sgarbossa
- Sgarbossa Criteria
- Shark fin morphology
- Shark fin STEMI
- Short PR interval
- Short QT
- Short QT interval
- Short QTc
- Sinus arrest
- sinus arrhythmia
- sinus rhythm
- Sinus rhythms
- Sinus Tachycardia
- Sloof Lirpa Sign
- Slow Atrial fibrillation
- Sodium channel blocker toxicity
- South Africa sign
- Spiked Helmet sign
- Spodick Sign
- Spodick’s Sign
- ST
- ST depression
- ST depression V1-V4
- ST Elevation
- ST segment elevation
- ST-segment
- ST-segment depression
- STD
- STE
- STE in aVR
- STEMI
- STEMI equivalent
- STEMI equivalents
- STEMI mimics
- STEMI vs. acute pericarditis
- STEMI vs. Early repolarization
- strain
- Stress Testing
- Stress tests
- Sustained VT
- SVT
- Syncop
- Syncope
- Systematic approach to ECG
- T wave inversion differential
- T-wave abnormalities
- T-wave alternans
- T-wave inversion
- T-wave inversions
- T-waves
- Tachycardia
- Tall R wave in V1
- Tamponade
- TCA
- TCA overdose
- TCA toxicity
- Terminal QRS distortion
- Thrombolytics
- Torsades
- Torsades de pointes
- torsades de points
- Toxicology
- TP segment
- Transient STEMI
- Tremor artifact
- Trigeminy
- Troponin
- TWI
- U-waves
- unstable bradycardia
- V1
- V1/V2
- vasospasm
- Ventricular aneurysm
- Ventricular dysrhythmias
- Ventricular fibrillation
- Ventricular rhythm
- Ventricular rhythms
- Ventricular Tachycardia
- Ventricular tachycardia mimics
- Ventricular tachycardia vs. SVT with aberrant conduction
- Ventricular Tachycardiak
- VF
- VT
- VT mimics
- w Voltage
- WCT
- Wellens
- Wellens waves
- Wellens’ syndrome
- Wide complex QRS
- wide complex regular tachycardia
- Wide complex tachycardia
- Wide QRS
- Wide QRS interval
- wide vs. narrow QRS
- Wolff Parkinson White
- WPW
- WPW with atrial fibrillation
- WPW with SVT
- Young patients
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