STEMI
Results:
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…
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:
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…
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:
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:
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:
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:
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:
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…
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….
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: left bundle branch block (LBBB) basics and expected findings with a focus on how to diagnose acute coronary occlusion myocardial infarction in these patients
A 85-year-old woman with a known history of LBBB presents to the ED with chest pain concerning for acute ischemia. The following ECG is obtained:
Literature Review: evaluation of Spodick’s sign and other electrocardiographic findings as indicators of STEMI and acute pericarditis
A 40-year-old male presents to the ED with chest pain. The following ECG is obtained with a computer interpretation of “Acute Pericarditis”:
STAT ECG Diagnoses: diagnosis of acute myocardial infarction (MI) in patients with paced rhythms
An 86-year-old female with PMHx of CAD and pacemaker placement presents to the ED with acute chest pain. Pain has been radiating to the right upper extremity for 1 hour…
Differential Diagnoses: diffuse ST segment elevation without reciprocal ST segment depression
An 18-year-old female with no known significant past medical history presents to the ED for acute 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: are you activating the cath lab for a large STEMI or is this just early repolarization
A 50-year-old man presents with intermittent increasing epigastric discomfort. The following ECG is obtained:
ECG Basics & Fundamentals: ventricular rhythms to be aware of in patients with cardiac ischemia
A 50-year-old man presents to the ED with ischemic chest pain concerning for acute MI. During his work up and observation, he clinically improves but is noted to have a…
Literature Review: COVID and the Heart
A 69-year-old man with history of bilateral lung transplant presents to the ED with severe chest pressure. Symptoms are associated with nausea, sweating, shortness of breath, and dry cough x…
ECG Tags
- & Myocardial Ischemia
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- bidirectional ventricular tachycardia
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- de Winter
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- de Winter T-waves
- defibrillation
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- deWinter
- deWinter T-waves
- Dextrocardia
- differential diagnoses
- differential diagnoses for left axis deviation
- Diffuse ST elevation
- Diffuse ST Elevation DDx
- Diffuse ST-segment Elevation
- Diffuse STE
- dig effect
- digoxin
- Digoxin effect
- Digoxin toxicity
- DKA
- Dominant R wave
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- dresslers
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- Dysrhythmia
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- Dysrhythmias
- Earliest ECG Evidence of Occlusion MI
- Early cardiac ischemia
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- Hypercalcemia
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- Hyperkalemia emergencies
- hyperkalemia mimics
- Hyperkalemia vs. STEMI
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- Hyperkalemic paralysis
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- Hypermagnesemia
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- Hypocalcemia
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- hypokalemia emergencies
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- hypokalemic periodic paralysis
- Hypomagnesemia
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- Hypothermia
- Idioventricular rhythms
- Impressive syndrome
- in-training exam
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- indeterminate axis
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- Intractable chest pain
- inverted P Waves
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- Isoelectric baseline
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- Isolated Posterior STEMI
- Isorhythmic AV dissociation
- Isorhythmic AVD
- ITE prep
- ITE review
- J point
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- J-waves
- Jervell
- Jervell and Lange-Nielsen Syndrome
- JLNS
- Josephson Sign
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- junctional escape rhythms
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- LBBB
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- lead misplacement
- lead V1
- left anterior fascicular block
- Left axis deviation
- left axis deviation ddx
- left bundle branch block
- left posterior fascicular block
- Left Ventricular Hypertrophy (LVH)
- Left ventricular hypertrophy vs. STEMI
- lewis
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- life savers
- limb lead misplacement
- Limb lead reversal
- Literature review
- Long QT
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- Long QT-interval
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- Low voltage QRS
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- LPFB
- LQT1 (KCNQ1 Mutation)
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- LQTS
- LV Aneurysm
- LV Aneurysm vs. STEMI
- LVAD
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- LVH
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- LVH with strain pattern
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- Mechanisms of ACS
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- Methamphetamine Toxicity
- MI
- mimics
- misplaced leads
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- monomorphic VT
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- narrow complex regular tachycardia differential
- Narrow Complex Tachycardia
- narrow qrs bradycardia
- New Q Waves
- New RBBB and LAFB
- Nielsen
- Nikelekam T-waves
- No clear P waves DDx
- Non-conducted P wave (P:QRS>1) DDx
- non-conducted PACs
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- normal
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- NSVT
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- Occlusion MI - STEMI Criteria & Beyond
- Occlusion MI patterns
- OMI
- OMI pa
- OMI Pattern
- OMI Pattern: ST Depression V1-V4
- OMI Patterns in Left Bundle Branch Block
- OMI Patterns in Ventricular Paced Rhythms
- OMI Patterns: STEMI (-) Occlusion MI
- Opiate Toxicity
- orthodromic
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- Osborn waves
- overdose
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- p waves
- P.E.
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- peaked P waves
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- Pediatrics
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- Pericardial Tamponade
- Pericarditis
- pericarditis vs acs
- Pericarditis vs. STEMI
- Periodic paralysis
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- R-wave
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- RAD
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- rate & rhythm
- RBBB
- Really wide complex tachycardia
- reciprocal changes
- Recommended ECG Books
- Reflux
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- Regularized atrial fibrillation
- Regularly Irregular Rhythm
- repolarization abnormalities
- Rescue PCI
- Resolved ST segment elevation
- Resources & Recommendations
- Respiratory variation
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- Revised Sgarbossa Criteria
- Rhythm
- Rhythm Interpretation
- right atrial enlargement
- Right axis
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- Right Axis Deviation DDx
- Right bundle branch block
- right heart strain
- Right sided leads
- Right Ventricular (RV) STEMI Criteria
- Right Ventricular Hypertrophy
- Rightward axis
- rollercoaster T waves
- RRWCT
- RV MI
- RV Outflow Tract Tachycardia (RVOT)
- RV STEMI
- rvh
- RVH with strain
- RVMI
- RWCT
- S wave
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- s5
- SAH
- Salvador Dali
- SANRT
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- segments
- Seizure
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- Septal STEMI
- Serial ECG
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- Severe hypothyroidism
- Sgarbossa
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- Shark fin morphology
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- Short PR interval
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- Short QT Syndrome
- Short QTc
- Shortened QT
- SHS
- sick sinus syndrome
- Sinoatrial Exit Block
- Sinoatrial Nodal Reentry Tachycardia
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- Sinus arrest
- sinus arrhythmia
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- sinus rhythm
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- Sloof Lirpa Sign
- Slow Atrial fibrillation
- slow ventricular tachycardia
- slow vt
- Sodium channel blocker toxicity
- South Africa
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- spiked
- Spiked Helmet sign
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- Spodick Sign
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- Spontaneous Coronary Artery Dissection
- Spontaneous Coronary Artery Dissection (SCAD)
- ST
- ST depression
- ST depression differential
- ST Depression in V1-V4 DDx
- ST depression V1-V4
- ST Elevation
- ST Elevation DDx
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- ST segment elevation
- ST Segment Elevation in aVR with Multi Lead ST Segment Depression
- ST-segment
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- stat
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- STEMI
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- STEMI equivalent
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- STEMI vs. acute pericarditis
- STEMI vs. Early repolarization
- stepwise approach
- strain
- Stress Testing
- Stress tests
- Student Level Curriculum
- Subtle ST elevation
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- Supraventricular tachycardia
- Supraventricular Tachycardia (SVT)
- Sustained VT
- SVT
- synchronization
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- Syncope
- syncope ddx
- syncope differentials
- syncope emergencies
- Systematic approach to ECG
- T wave
- T wave inversion differential
- T Wave Inversion in V1-V3 DDx
- T wave inversions in V1-V3
- T wave morphology
- T-wave abnormalities
- T-wave alternans
- T-wave inversion
- T-wave inversions
- T-waves
- Tachycardia
- Takotsubo Cardiomyopathy
- Takotsubo Cardiomyopathy vs. STEMI
- Tall R wave in aVR
- Tall R wave in V1
- Tamponade
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- TCA overdose
- TCA toxicity
- TdP
- Terminal QRS distortion
- Terminal QRS Distortion (OMI Pattern)
- the basics
- The Curriculum
- third degree AV block
- Thrombolytics
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- Top 10 cases of the past 10 years
- Torsades
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- torsades de points
- Toxicologic Emergencies
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- TP segment
- Transient STEMI
- Tremor artifact
- trifascicular block
- Trigeminy
- Troponin
- TWI
- Type A Wellens
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- U-waves
- Understanding ECG Artifacts
- unifascicular
- unstable bradycardia
- unstable tachyarrhythmia
- unstable tachycardia
- Upright T waves in V1
- V1
- v1-v2 placed too high
- V1/V2
- vasospasm
- Ventricular aneurysm
- Ventricular dysrhythmias
- ventricular escape rhythms
- Ventricular fibrillation
- ventricular fibrillation mimics
- Ventricular Flutter
- Ventricular rhythm
- Ventricular rhythms
- Ventricular Tachycardia
- Ventricular Tachycardia (VT)
- Ventricular tachycardia mimics
- Ventricular tachycardia vs. SVT with aberrant conduction
- Ventricular Tachycardiak
- Vereckei aVR
- VF
- voltage
- VT
- VT mimics
- VT vs. SVT with Aberrancy
- w Voltage
- waveforms
- waves
- WCT
- Wellens
- Wellens waves
- Wellens’ syndrome
- Wide & Regular Tachydysrhythmia DDx
- wide complex irregular tachycardia
- Wide complex QRS
- wide complex regular tachycardia
- Wide complex tachycardia
- Wide QRS
- wide qrs bradycardia
- Wide QRS interval
- wide vs. narrow QRS
- Wolff Parkinson White
- Wolff-Parkinson White (WPW) Syndrome
- WPW
- wpw syndrome
- WPW syndrome and Pseudo-MI patterns
- WPW vs STEMI
- WPW with Antidromic SVT
- WPW with atrial fibrillation
- WPW with Orthodromic SVT
- WPW with SVT
- Young patients
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