STEMI
Results:
STAT ECG Diagnoses: would you activate the cath lab for this patient with a left bundle branch block (LBBB)?
A 84-year-old man presents to the ED with chest pain 6 days after PCI where he received a stent to his LAD. He is noted to have a LBBB at…
STAT ECG Diagnoses: arrhythmias after thrombolysis for myocardial infarction (MI)
An 86-year-old man presents to the ED with substernal chest pressure, diaphoresis, and vomiting. The following ECG is obtained:
ECG Basics & Fundamentals: interval abnormalities can cause clinical uncertainty
A 40-year-old man presents with concerning chest pain. 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…
Literature Review: modified Sgarbossa criteria in the diagnosis of acute coronary occlusion MI in LBBB
An elderly patient with a history of CAD and a known LBBB presents to the ED with acute onset of chest pain. The following ECG is obtained:
Literature Review: modified Sgarbossa criteria in the diagnosis of acute coronary occlusion MI in paced rhythms
A 81-year-old male with PMHx of HTN and CAD s/p pacemaker insertion, presents to the ED complaining of chest pain radiating down both arms x 1 hour. He reports improvement…
ECG Basics & Fundamentals: normal and expected findings in right bundle branch block (RBBB) vs patients with occlusion MI
A 61-year-old male with PMHx of atrial fibrillation on anticoagulation presents to the ED with chest pain for 1 day after eating beef stew. He is concerned about having bad…
Differential Diagnoses: factors that rule in STEMI in the evaluation of diffuse ST segment elevation
A 60-year-old male presents to the ED with chest pain and mild dyspnea. The following ECG is obtained:
Rhythm Interpretation: distracted by ectopy!
HPI: A 51-year-old male presents to the ED with dyspnea, nausea, and palpitations. The following ECG is obtained: Case ECG Before watching this week’s video, ask yourself these questions:…
ECG Basics and Fundamentals: expected ECG findings in right ventricular (RV) paced rhythms
A 71-year-old male with PMHx of hypertension and pacemaker placement presents to the ED with chest pain, nausea, diaphoresis, and shortness of breath. The following ECG is obtained:
Differential Diagnoses: new right axis deviation and ST segment elevation
A 27-year-old male with no PMHx is brought in by ambulance for right shoulder pain, nausea, and generalized weakness. He is confused with a blood pressure of 60/40. The following…
Post-cardiac arrest ECGs: can you guess the cause of arrest based off this ECG?
A 56-year-old man is brought in by ambulance after witnessed cardiac arrest. He reportedly had shortness of breath and malaise prior to collapse. The following post ROSC ECG is obtained:
Differential Diagnoses: poor R wave progression and attention to T wave abnormalities
A 55-year-old woman presents with substernal chest pressure radiating to the left upper extremity, dyspnea, and nausea. She has a past medical history of HTN, DM, HLD, and is a…
STAT ECG Diagnoses: does the presence of a LBBB obviate the ability to diagnose occlusion MI?
A 48-year-old man presents with 90 minutes of chest pain. He is hemodynamically stable and has a normal first troponin. The following ECG is obtained:
Differential Diagnoses: terminal QRS distortion in the differentiation of STEMI from early repolarization
A 43-year-old male presents to the emergency department with chest pain. The following ECG is obtained:
2019 ECG Competition Answers (Part 3/3)
This week we review the answer to question 12 from the 7th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red box to…
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…
2019 ECG Competition Answers (Part 1/3)
This week we review the answers to the first 6 questions from the 7th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red…
Acute chest pain in a patient with a known right bundle branch block (RBBB)
A 63-year-old male with multiple cardiac risk factors presents to a busy ED with chest pain. He has normal vital signs and a known right bundle branch block. The following…
Literature Review: safety of computer interpretation of normal triage electrocardiograms
A 64-year-old male with PMHx of hypertension and hyperlipidemia presents to the ED with chest pain associated with vomiting and shortness of breath. The patient looks sick. The following ECG is…
ECG Tags
- & Myocardial Ischemia
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- 1st degree AV Block
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- differential diagnoses
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- Left ventricular hypertrophy vs. STEMI
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- Literature review
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- Monomorphic Ventricular Tachycardia
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- narrow & irregular tachycardia
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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
- Non-STE ACS
- Non-sustained Ventricular tachycardia
- Non-sustained VT
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- normal
- Normal Cardiac Conduction
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- Not Enough P Waves (P:QRS < 1) DDx
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- NSVT
- Occlusion MI
- 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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- Pacemaker
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- PE
- PE vs. STEMI
- peaked P waves
- Pediatric ECG
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- Pericarditis
- pericarditis vs acs
- Pericarditis vs. STEMI
- Periodic paralysis
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- PFO
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- post cardiac arrest ECGs
- post-arrest
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- RAD
- rapid af
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- rate & rhythm
- RBBB
- Really wide complex tachycardia
- reciprocal changes
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- Reflux
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- repolarization abnormalities
- Rescue PCI
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- Resources & Recommendations
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- Revised Sgarbossa Criteria
- Rhythm
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- 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
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- RVMI
- RWCT
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- s5
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- 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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- Slow Atrial fibrillation
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- slow vt
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- South Africa
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- 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
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- ST-segment
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- stat
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- steeple sign
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- STEMI
- STEMI Criteria
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- STEMI equivalent
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- 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
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- Tamponade
- TCA
- TCA overdose
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- 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
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- torsades de points
- Toxicologic Emergencies
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- TP segment
- Transient STEMI
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- trifascicular block
- Trigeminy
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- TWI
- Type A Wellens
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- U-waves
- Understanding ECG Artifacts
- unifascicular
- unstable bradycardia
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- 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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