STEMI

Weekly Workout October 20, 2019

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:

Weekly Workout September 30, 2019

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…

Weekly Workout September 23, 2019

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:

Weekly Workout August 12, 2019

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:

Weekly Workout July 8, 2019

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…

Weekly Workout July 1, 2019

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…

Weekly Workout June 24, 2019

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…

Weekly Workout June 17, 2019

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…

Weekly Workout May 20, 2019

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…

Weekly Workout March 25, 2019

STAT ECG Diagnoses: criteria for right ventricular myocardial infarction (RVMI)

A 52-year-old male presents to the emergency department with 1 hour of right sided chest pain that woke him up in the middle of the night. Chest pain is associated…

Weekly Workout February 4, 2019

Literature Review: occlusion MI in paced rhythms

HPI: An 84-year-old male presents to the emergency department with 4 hours of chest pain. He has a history of coronary artery disease and has a pacemaker. The following ECG…

Weekly Workout January 7, 2019

ECG Basics & Fundamentals: respect the T waves!

A 29-year-old male presents to the emergency department with a mild headache and dyspnea. He is an avid cyclist who biked 40 miles the day before. His exam is normal….

Weekly Workout November 26, 2018

Literature Review: severe hyperkalemia, ST segment elevation in aVR, and many more interesting topics

A 60-year-old woman with PMHx of HTN is brought in by EMS with chest pain and diaphoresis. The following prehospital ECG was obtained:

Weekly Workout November 19, 2018

Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 3/3)

A 80-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 12, 2018

Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)

A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout November 5, 2018

Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 1/3)

A 50-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout September 16, 2018

Differential Diagnosis: STEMI vs. acute pericarditis

A 45-year-old male presents to the emergency department with sharp, positional, and pleuritic chest pain while doing CrossFit. He is not a smoker and has no known cardiac risk factors….

Weekly Workout June 11, 2018

STAT ECG Diagnoses: ECG findings that preceed ST segment elevation in acute coronary syndromes

A 70-year-old man presents to the ED with right sided chest pain that radiates to the left. His pain started while running to catch the subway, and is associated with…

Weekly Workout May 28, 2018

Post-cardiac arrest ECGs: which arrest survivors should get emergent reperfusion therapy?

A 65-year-old man presents to the ED with substernal chest pain that radiated to the back and is associated with nausea. An ECG is obtained on arrival and is interpreted…

Weekly Workout February 26, 2018

STAT ECG Diagnoses: “Shark fin STEMI” morphology and what this ECG pattern means!

A 59-year-old male presents to the ED with exertional chest pain that resolved on arrival. An ECG (#1) is obtained at triage. While being interviewed by the physician who is…

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