ST Elevation

Weekly Workout November 12, 2018

Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)

A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 5, 2018

Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 1/3)

A 50-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout March 5, 2018

Differential Diagnoses: diffuse ST segment elevation with a focus on left ventricular (LV) aneurysm

An elderly gentleman presents to the ED with diarrhea. He has no chest pain or dyspnea, and denies nausea or vomiting. He appears well. The following ECG was obtained at…

Weekly Workout July 11, 2016

Differential DIagnoses: tall R wave in lead V1

An 80-year-old man is brought in by ambulance to the ED for chest pain and dyspnea. He looks sick on exam and is found to be hypotensive, tachycardic, and tachypneic….

Weekly Workout February 8, 2016

ECG findings in hypothermia

A 77-year-old male is brought into the ED after being found unconscious in his home. The following prehospital ECG was obtained and compared to an old normal ECG:

Weekly Workout February 1, 2016

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….

Weekly Workout December 21, 2015

STAT ECG Diagnoses: a peculiar pattern of ST segment elevation that is high risk for death!

A 64-year-old man with HTN and DM presents to the ED with chest pain that radiates to the right lower neck x 1 week. He also reports difficulty walking and…

Weekly Workout November 8, 2015

Literature Review: which patients should go to the cath lab for reperfusion emergently? (Part 3/3)

HPI: A 60-year-old male with a history of CAD with a pacemaker presents to the ED with acute chest pain that radiates to the left arm. Pain is worse with…

Weekly Workout October 19, 2015

STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss

A 62-year-old male is being transported by EMS to the ED for acute onset chest pressure. He is noted to be hypotensive with a systolic blood pressure in the 50’s….

Weekly Workout October 11, 2015

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…

Weekly Workout January 12, 2015

Differential Diagnoses: how to use ECG differentials to clinch the diagnosis in sick patients

HPI: 64-year-old male smoker with a Hx of HTN, DM, COPD presents with lightheadedness and chest tightness. He has had flu like symptoms for the past week, that have been…

Results: