STEMI
Results:
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…
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…
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