STEMI

Results:
Weekly Workout January 29, 2024
2024 EMS Cases Part II

A 56-year-old woman is being brought in by EMS for palpitations. The following EMS ECG is obtained and transmitted:

Weekly Workout February 6, 2023
STAT ECG Diagnoses: how to identify acute coronary occlusion myocardial infarction in patients with right bundle branch blocks (RBBB)

A 61-year-old man presents to the emergency department with acute chest pain associated with diaphoresis and appears pale. While obtaining a history and performing a physical exam the patient has…

Weekly Workout January 22, 2023
STAT ECG Diagnoses: how to identify acute coronary occlusion myocardial infarction in patients with left ventricular hypertrophy (LVH) with strain

A 60-year-old man presents to the emergency department with central chest pain for the last 2.5 hours concerning for cardiac ischemia.  The following ECG is obtained on arrival:

Weekly Workout January 8, 2023
STAT ECG Diagnoses: differential diagnoses for low voltage QRS complexes and ventricular arrhythmias in patients with left ventricular assist devices (LVADs)

An 82-year-old man is brought to the emergency department with confusion and decreased level of consciousness. He is noted to be hypotensive, bradycardic, hypothermic, and hypoglycemic. The following ECG is…

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 October 23, 2022
ECG Basics and Fundamentals: the earliest evidence of cardiac ischemia on the ECG and when to obtain serial ECGs

A 68-year-old man is brought into the emergency department for acute chest pain radiating to the back. He appears very uncomfortable and is hypertensive on arrival. A CT angiogram is…

Weekly Workout May 15, 2022
ECG Basics and Fundamentals: PR segment or TP? the isoelectric baseline you should use to measure ST segment deviation

 A 45-year-old woman presents to the ED with severe chest pain. She is minimally cooperative when trying to obtain a history and is requesting pain medication for severe pain. Physical…

Weekly Workout May 1, 2022
STAT ECG Diagnoses: findings of occlusion MI in patients with right bundle branch block (RBBB)

A 51-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained with no priors available for comparison:

Weekly Workout April 17, 2022
STAT ECG Diagnoses: what to do when the ST segment elevation in presumed STEMI resolves before patients get to the cath lab?

 A 62-year-old woman is brought to the ED with severe chest pain radiating to the left shoulder. Pain is associated with shortness of breath, nausea, and diaphoresis. The following ECGs…

Weekly Workout March 27, 2022
STAT ECG Diagnoses: using ectopy and premature ventricular contractions (PVCs) to diagnose occlusion MI

A 62-year-old woman is brought to the ED by EMS with severe chest pain, shortness of breath, nausea, and diaphoresis. The following EMS ECG was obtained:

Weekly Workout November 29, 2021
STAT ECG Diagnoses: antiarrhythmic considerations in patients with unstable irregular tachydysrrhythmias

A 29-year-old male with no significant known PMHx presents to the ED with palpitations. He is found to be markedly tachycardic on arrival. The following ECG is obtained:

Weekly Workout November 22, 2021
Literature Review: diagnosis of acute coronary occlusion myocardial infarction in patients with ventricular paced rhythms

A 65-year-old woman presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 15, 2021
STAT ECG Diagnoses: the basics of left bundle branch blocks (LBBB) and how to identify occlusion MI in these patients

A 65-year-old man presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 8, 2021
STAT ECG Diagnoses: any ST segment elevation in patients with right bundle branch blocks (RBBB) is abnormal!

HPI:  A 70-year-old male with PMHx of HTN, DM, CKD, and CAD is brought to the emergency department with chest pain and shortness of breath. The following ECG is obtained…

Weekly Workout October 4, 2021
STAT ECG Diagnoses: the ECG in patients with significant left ventricular hypertrophy (LVH) and how to identify occlusion MI in these patients (part 2/2)

 LVH with strain pattern may mimic anterior coronary occlusion and is known to be a common cause of “false-positive” cath lab activations. The following prehospital ECGs were obtained in patients…

Weekly Workout September 27, 2021
STAT ECG Diagnoses: the ECG in patients with significant left ventricular hypertrophy (LVH) and how to identify occlusion MI in these patients (part 1/2)

LVH with strain pattern may mimic anterior coronary occlusion and is known to be a common cause of “false-positive” cath lab activations. The following prehospital ECGs were obtained in patients…

Weekly Workout July 19, 2021
5 challenging EMS cases to help you test your emergency ECG interpretation skills

A 78-year-old man is brought into the ED by EMS with chest aches, dyspnea, and palpitations. The following prehospital ECG was obtained:

Weekly Workout May 24, 2021
ECG Basics and Fundamentals: the isoelectric baseline used to evaluate ST segment deviation

A 45-year-old woman presents to the ED with severe chest pain. She is minimally cooperative when trying to obtain a history and is requesting pain medication for severe pain. Physical…

Weekly Workout February 22, 2021
ECG Basics and Fundamentals: the basics of left bundle branch block (LBBB) and how to diagnose acute coronary occlusion myocardial infarction in these patients

A 65-year-old man presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:

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