STEMI

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:

Weekly Workout February 1, 2021

STAT ECG Diagnoses: the challenge of evaluating for occlusion MI in patients with left ventricular hypertrophy (LVH)

A 59-year-old man presents to the ED with intermittent exertional chest pain for the past 2 days. The following ECG is obtained:

Weekly Workout January 11, 2021

Potpourri of cases: critical electrolyte abnormalities, clumped or grouped beats, and so much more!

A 73-year-old man presented to the ED with chest pain and is noted to be hypotensive (95/45). The following ECG was obtained:

Weekly Workout January 4, 2021

Potpourri of cases: BRASH syndrome, the ECG findings in patients of digoxin, and so much more

A 54-year-old man presented to the ED with chest pain. The following ECG was obtained:

Weekly Workout December 28, 2020

STAT ECG Diagnoses: STEMI mimics and how you can use the QRS axis to clinch the diagnosis in patients with altered mental status

A 46-year-old man presented with pleuritic left sided chest pain. He was found down for an unknown period of time, with suspicion for drug overdose. The following ECG was obtained:

Weekly Workout December 21, 2020

Bifascicular blocks, BRASH syndrome, and so much more!

This week we will continue discussing 6 more interesting prehospital EMS ECGs. Let’s start with this 78-year-old woman with PMHx of HTN who called an ambulance for generalized weakness associated…

Weekly Workout December 14, 2020

How to distingusish between left anterior vs. posterior fascicular blocks (LAFB vs. LPFB), hyperkalemia emergencies, and much more!

This week we will quickly review 6 interesting prehospital EMS ECGs. Let’s start with this 46-year-old man who called an ambulance for chest pain and was noted to be diaphoretic….

Weekly Workout December 7, 2020

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:

Results: