STEMI

Weekly Workout August 15, 2016

Literature in support of Sgarbossa criteria (Part 1/2)

A 50-year-old man with a known left bundle branch block presents to the ED with acute chest pain. The following ECG is obtained:

Weekly Workout July 17, 2016

EMS ECGs: differentials to consider when dealing with ST elevation and right axis deviation in sick patients

A 26-year-old man presents to the ED with chest pain. The following prehospital ECG is obtained:

Weekly Workout June 12, 2016

Age as a cardiac risk factor

A 32-year-old woman presents to the ED with 2 hours of chest pain. She has a history of psychosis and smokes cigarettes. The following ECG is obtained:

Weekly Workout June 5, 2016

ECG Basics & Fundamentals: when does the QRS complex end and the ST segment begin in RBBB

A 67-year-old woman with PMHx of Diabetes is brought in by ambulance for 2 hours of chest pain. At arrival she reports mild associated arm pain. The following ECG is…

Weekly Workout May 29, 2016

ECG Basics & Fundamentals: diagnostic criteria for acute pericarditis

A 38-year-old man presents with mid-sternal, sharp chest pain. The pain is non-radiating, worse when supine, and is not associated with any diaphoresis or vomiting. The following ECG is done:

Weekly Workout May 8, 2016

2016 ECG Competition Answers (Part 1/2)

This week we review the answers to the first 6 cases from the 4th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before you watch the video! Video…

Weekly Workout April 10, 2016

How much ST segment elevation is acceptable in patients with a right bundle branch block

A 75-year-old man presents to the ED with weakness and dyspnea. The following ECG was obtained:

Weekly Workout December 14, 2015

Literature Review: appropriate vs inappropriate concordance in LBBB

HPI: A 76-year-old woman presents to the ED with chest pain that radiates to the neck, jaw and teeth. The pain is associated with nausea, dyspnea, and diaphoresis. The…

Weekly Workout November 23, 2015

DIfferential Diagnoses: subtle but deadly causes of syncope to consider

A 56-year-old woman presents to the ED with chest pain and has a syncopal episode prior to arrival. She has a past medical history of hypertension, hyperlipidemia, is a smoker,…

Weekly Workout November 8, 2015

Literature Review: which patients should go to the cath lab for reperfusion emergently? (Part 3/3)

HPI: A 60-year-old male with a history of CAD with a pacemaker presents to the ED with acute chest pain that radiates to the left arm. Pain is worse with…

Weekly Workout November 2, 2015

Literature Review: which patients should go to the cath lab for reperfusion emergently? (Part 2/3)

HPI: A 65-year-old male with PMHx of CAD and LBBB presents to the ED with substernal chest pressure and pain that radiates to the both arms. Pain is worse with…

Weekly Workout October 26, 2015

Literature Review: which patients should go to the cath lab for reperfusion emergently? (Part 1/3)

Weekly Workout October 19, 2015

STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss

A 62-year-old male is being transported by EMS to the ED for acute onset chest pressure. He is noted to be hypotensive with a systolic blood pressure in the 50’s….

Weekly Workout July 5, 2015

STAT ECG Diagnoses: ruling out rapidly fatal diagnoses first, before diagnosing non life threatening conditions

Weekly Workout June 22, 2015

Potpourri of ECG Cases: Atrial fibrillation with WPW and so much more!

Case ECG

Weekly Workout June 15, 2015

STAT ECG Diagnoses: MI in paced rhythms

HPI: An 80-year-old woman presents to the ED with chest pain. The following ECG is obtained. Case ECG

Weekly Workout June 8, 2015

ECG Basics & Fundamentals: the value of ECGs in patients with diabetic ketoacidosis (DKA)

Weekly Workout June 1, 2015

STAT ECG Diagnoses: MI in LBBB

Weekly Workout May 25, 2015

ECG Basics & Fundamentals: you don’t always need ST segment elevation to benefit from acute reperfusion therapy

HPI: A 75-year-old male with a history of hypertension presents to the ED with substernal chest pressure. There is no associated diaphoresis or nausea. The following ECG was obtained. Case…

Weekly Workout April 20, 2015

Results: