STEMI

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

ECG cases from Baltimore City EMS

Weekly Workout February 16, 2015

Literature Review: ECG computer interpretations and review of STEMI criteria

HPI: A 45-year-old male is en route to your hospital by EMS with chest pain. EMS has transmitted this ECG to you from the field, with suspicion of STEMI. Case ECG…

Weekly Workout January 26, 2015

ECG Basics & Fundamentals: “just because electrocardiography is a basic skill in medicine, doesn’t mean that our ECG skills should be basic”

HPI: 43-year-old male presents with mid-sternal chest tightness. History is otherwise limited. Vitals: HR-110, otherwise normal vitals. Case ECG

Weekly Workout January 19, 2015

Literature Review: age as a cardiac risk factor, what age is too young to have a myocardial infarction (MI)?

HPI: 25-year-old male smoker presents with left arm and upper back pain. He also has mild epigastric pain, associated with vomiting x 4 episodes. Vitals: HR-100, BP-110/70, RR-22, SpO2-100%, afebrile….

Weekly Workout January 12, 2015

Differential Diagnoses: how to use ECG differentials to clinch the diagnosis in sick patients

HPI: 64-year-old male smoker with a Hx of HTN, DM, COPD presents with lightheadedness and chest tightness. He has had flu like symptoms for the past week, that have been…

Weekly Workout January 5, 2015

ECG Basics & Fundamentals: A stepwise approach to ECG interpretation in patients with chest pain and clinical concern for an acute coronary syndrome (ACS) with pearls and pitfalls in obtaining chest pain histories

HPI: 61 year old male with significant cardiac risk factors presents with chest pain that that radiates down both arms. The pain is exertional and improves with rest. His pain…

Results: