Syncope
Results:
Literature Review: Brugada Syndrome
A 55-year-old man with no significant PMHx (on no medications) presents to the emergency department with right lower quadrant pain. He is afebrile on arrival, with mild sinus tachycardia. He…
Literature Review: Fever and ST segment elevation after syncope
A young woman presents to the ED after a syncopal episode. She hit her chest after falling and has reproducible chest wall tenderness on exam. She is also noted to…
Literature Review: ST segment elevation after syncope and cardiac arrest
A 22-year-old man with no known significant PMHx presents after syncope. He is asymptomatic on arrival with normal vital signs. History and physical exam is non-diagnostic. While an ECG is…
Hyperacute T waves and serial ECGs in early ACS, AV blocks, and more on sustained vs. nonsustained ventricular tachycardia
An 80-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained:
Differential Diagnoses: AV blocks, tachyarrhythmias, and what you need to look for on the ECG of every patient with syncope
A 36-year-old woman is brought into the emergency department after an episode of syncope. She reports palpitations prior to the episode but is otherwise asymptomatic on arrival. Vital signs are…
STAT ECG Diagnoses: the differentials to consider when dealing with ST segment elevation and an impressive syndrome
A 61-year-old woman presents the ED for evaluation of a possible acute stroke. She woke up unable to walk due to bilateral lower extremity weakness and is now also feeling…
Potpourri of cases: the most common ECG findings in pulmonary embolism, electrical alternans, and so much more!
A 72-year-old woman presents the ED with atypical chest pain. She is found to be mildly tachycardic. The following ECG is obtained:
STAT ECG Diagnoses: a pediatric patient with syncope and an abnormal ECG
A 9-year-old boy with PMHx of asthma presents to the ED with multiple pre-syncopal episodes. He has been evaluated for similar symptoms in the past by multiple physicians who suspected…
STAT ECG Diagnoses: ECG findings of cardiac syncope, what you need to look for what you can’t miss!
A 55-year-old male with PMHx of COPD presents to the ED with dyspnea and chest pain. He is asymptomatic on arrival but reports two recent episodes of syncope without prodrome….
STAT ECG Diagnoses: Brugada ECG pattern vs. Brugada syndrome
A 22-year-old male presents to the ED after a brief syncopal episode. He is now asymptomatic; history and physical exam are non-diagnostic. The patient becomes unresponsive while getting the following…
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…
Syncope: what to consider when the history and physical exam are not suggestive of an etiology
A 20-year-old male presents to the ED after a syncopal episode while playing soccer. He reports feeling dizzy before collapsing. He was seen in the ED a few days ago…
Stepwise approach to ECG interpretation: systematic rhythm interpretation in a case of syncope
A 76-year-old male presents to the emergency department after an episode of syncope. He denies a prodrome and has no focal neurological complaints or findings. The following ECG was obtained:
Syncope: Brugada Syndrome
A 33-year-old woman has a syncopal episode while in the bathroom. The following ECG was obtained on arrival to the ED after the episode:
ECG reveals a can’t miss genetic cause of cardiac syncope
HPI: A 39-year-old woman with no PMHx was completing a treadmill stress test ordered by her primary care physician, when she had chest pain, palpitations and syncope. The following ECG…
ECG Basics and Fundamentals: Hypertrophic Cardiomyopathy
HPI: A 30-year-old female is brought to the ED after a syncopal episode. Her history and physcial exam are unremarkable. The following ECG is obtained: Case ECG Before watching this…
STAT ECG Diagnoses: epsilon waves in patient with syncope
A teenage girl presents to the ED after brief syncope during sports activity. The following ECG is obtained:
Prolonged QTC interval from severe hypokalemia
A 42-year-old woman presents to the ED with a seizure. She has been noncompliant with medications. She is now awake and well, though she appears malnourished. The following ECG was…
ECG Tags
- & Myocardial Ischemia
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- 12th annual UMEM Residency ECG competition
- 1st degree AV Block
- 1st degree AVB
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- 2015 ECG Competition
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- 3rd degree AV block
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- Accelerated idioventricular rhythm
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- EMS cases
- Epsilon waves
- escape rhythm
- evolution of ecg
- Evolving STEMI
- extreme axis deviation
- Fascicular blocks
- fever
- Flattened T Waves
- Flutter Waves (F waves)
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- GERD
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- Guidelines
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- heart rate
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- heart rhythm
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- High grade AV block
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- high lateral STEMI
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- high-risk pulmonary embolism
- Himalayan T-waves
- history of ecg
- History of presenting illness
- HOCM
- Hypeacute T waves
- Hyperacute T-waves
- Hypercalcemia
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- hyperkalemia mimics
- Hyperkalemic Periodic Paralysis
- Hypermagnesemia
- Hypertrophic Cardiomyopathy
- Hypertrophic obstructive cardiomyopathy
- Hypocalcemia
- Hypokalemia
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- Hypothermia
- Idioventricular rhythms
- Impressive syndrome
- inappropriate sinus tachycardia
- incomplete right bundle branch block
- indeterminate axis
- indeterminate QRS axis
- inferior STEMI
- intermittent
- Intermittent WPW
- intervals
- Intracranial hemorrhage
- Intractable chest pain
- inverted P Waves
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- Inverted U-waves
- IRBBB
- Irregular rhythm
- irregular rhythms
- Ischemia
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- Isoelectric baseline
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- Isoelectric Segment of the ECG
- Isolated Posterior STEMI
- Isorhythmic AV dissociation
- Isorhythmic AVD
- J point
- J wave
- J-waves
- junctional escape rhythms
- junctional rhythm
- Junctional rhythms
- Junctional Tachycardia
- Juvenile T wave inversions
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- killer differentials
- LAD
- LAFB
- Large T Wave DDx
- Large T-waves
- LBBB
- LBBB DDx
- lead misplacement
- lead V1
- left anterior fascicular block
- Left axis deviation
- left axis deviation ddx
- left bundle branch block
- left posterior fascicular block
- Left Ventricular Hypertrophy (LVH)
- Lewis lead
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- life savers
- limb lead misplacement
- Limb lead reversal
- Literature review
- Long QT
- Long QT Interval DDx
- Long QT-interval
- Long QTc
- long ST segment
- Low Voltage
- Low voltage QRS
- Low Voltage QRS DDx
- LPFB
- LV Aneurysm
- LV Aneurysm vs. STEMI
- LVAD
- LVAD Dysrhythmias
- LVADs
- LVH
- LVH vs. STEMI
- LVH with strain pattern
- Lyme carditis
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- Mechanisms of ACS
- Metabolic Emergencies
- MI
- mimics
- misplaced leads
- Mobitz
- Mobitz conduction
- Mobitz I
- Mobitz I (Wenckebach)
- Mobitz II
- Mobitz II (Hay)
- Mobitz II AV block
- Modified Sgarbossa criteria
- Monomorphic Ventricular Tachycardia
- monomorphic VT
- Multifocal atrial tachycardia
- Myocarditis
- Myxedema
- Na channel blocker toxicity
- narrow & irregular tachycardia
- narrow & regular tachycardia
- Narrow complex and regular rhythms
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- Narrow Complex Regular Tachycardia
- Narrow Complex Tachycardia
- narrow qrs bradycardia
- 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
- Nonspecific intraventricular conduction delay
- nonsustained ventricular tachycardia
- Nonsustained VT
- normal
- Normal Cardiac Conduction
- Normal ECG
- normal heart rate
- Normal Heart Rate Ranges by Age
- normal lead placement
- normal qrs axis
- Normal R wave progression
- Normal Sinus Rhythm
- Normal STAT ECG
- Normal variant patterns
- normal variant ST elevation
- Normal variants
- Not Enough P Waves (P:QRS < 1) DDx
- Not normal ecg
- NSVT
- Occlusion MI
- OMI
- 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
- orthodromic
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- Osborn waves
- overdose
- p mitrale
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- PAC
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- Paced rhythms
- Pacemaker
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- palpitations
- Pauses and clumped beats
- PE
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- peaked P waves
- Pediatric ECG
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- Pediatrics
- Pericardial effusion
- Pericardial Tamponade
- Pericarditis
- Pericarditis vs. STEMI
- Periodic paralysis
- Persistent juvenile T-wave pattern
- PFO
- PJC
- plaque rupture
- plaque vulnerability
- Polymorphic Ventricular Tachycardia
- Polymorphic VT
- Polyuria
- Poor R-wave progression
- post arrest ECG
- post cardiac arrest ECGs
- post-arrest
- Post-arrest NSTE-ACS
- Post-arrest STEMI
- post-cardiac arrest ecg
- Post-Thrombolytic Reperfusion ECG Findings
- Posterior MI
- Posterior STEMI
- Posterior STEMI Criteria
- postural orthostatic tachycardia syndrome
- Potpourri
- POTS
- PR interval
- PR segment
- PR segments
- Pre-hospital ECG
- precordial lead misplacement
- preexcitation
- preexcitation syndrome
- Preexcitation syndromes
- preexcited af
- preexcited atrial fibrillation
- Pregnancy
- Prehospital ECG
- premature atrial complexes
- Premature beats
- Premature complexes
- premature contractions
- premature junctional complexes
- Prolonged QT
- Prolonged QT interval
- prolonged QTc
- proper lead placement
- proportionality
- PRWP
- Pseudo Wellens
- Pseudo-Wellens waves
- Pseudonormalization of T-waves
- Pulmonary Embolism
- pulmonary hypertension
- PVC
- PVCs
- PVT
- Q-waves
- QRS
- QRS axis
- qrs axis basics
- QRS Complexes
- QRS fragmentation
- QRS Fragmentation (fQRS)
- QRS morphology
- qrs voltage
- QRS-interval
- QRS-T proportionality
- R wave basics
- R waves
- R-on-T phenomenon
- R-wave
- R-wave in V1
- R-wave progression
- RAD
- rapid af
- rapid afib
- rapid atrial fibrillation
- rate & rhythm
- RBBB
- Really wide complex tachycardia
- reciprocal changes
- Reflux
- Regular Really Wide Complex Tachycardia
- Regular Rhythm
- Regular Wide Complex Tachycardia
- Regularized atrial fibrillation
- repolarization abnormalities
- Rescue PCI
- Resolved ST segment elevation
- Resources & Recommendations
- Respiratory variation
- Retrograde P waves
- Reverse R wave progression
- Revised Sgarbossa Criteria
- Rhythm
- Rhythm Interpretation
- right atrial enlargement
- Right axis
- Right Axis Deviation
- 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
- RVMI
- RWCT
- S wave
- S waves
- SAH
- Salvador Dali
- SANRT
- segments
- Seizure
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- Septal STEMI
- Serial ECG
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- Severe hypothyroidism
- Sgarbossa
- Sgarbossa Criteria
- Shark fin morphology
- Shark fin STEMI
- Short PR interval
- Short QT
- Short QT interval
- Short QT Syndrome
- Short QTc
- sick sinus syndrome
- Sinoatrial Exit Block
- Sinoatrial Nodal Reentry Tachycardia
- Sinoatrial Nodal Reentry Tachycardia (SANRT)
- Sinus arrest
- sinus arrhythmia
- sinus bradycardia
- sinus inversus totalis
- Sinus Node Dysfunction
- sinus rhythm
- Sinus rhythms
- Sinus Tachycardia
- situs inversus
- situs inversus totalis
- Sloof Lirpa Sign
- Slow Atrial fibrillation
- slow ventricular tachycardia
- slow vt
- Sodium channel blocker toxicity
- South Africa sign
- Spiked Helmet sign
- Spodick Sign
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- ST
- ST depression
- ST depression V1-V4
- ST Elevation
- ST Elevation DDx
- ST Elevation in aVR DDx
- ST segment elevation
- ST Segment Elevation in aVR with Multi Lead ST Segment Depression
- ST-segment
- ST-segment depression
- stat
- stat ecg
- stat ecgs
- STD
- STE
- STE in aVR
- STEMI
- STEMI Criteria
- STEMI equivalent
- STEMI equivalents
- STEMI mimics
- STEMI vs. acute pericarditis
- STEMI vs. Early repolarization
- stepwise approach
- strain
- Stress Testing
- Stress tests
- Subtle ST Segment Elevation (STE)
- Supraventricular tachycardia
- Supraventricular Tachycardia (SVT)
- Sustained VT
- SVT
- Syncop
- Syncope
- syncope ddx
- syncope emergencies
- Systematic approach to ECG
- T wave inversion differential
- T Wave Inversion in V1-V3 DDx
- 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
- Tall R wave in V1
- Tamponade
- TCA
- TCA overdose
- TCA toxicity
- Terminal QRS distortion
- the basics
- Thrombolytics
- too many P waves
- Torsades
- Torsades de pointes
- torsades de points
- Toxicologic Emergencies
- Toxicology
- TP segment
- Transient STEMI
- Tremor artifact
- trifascicular block
- Trigeminy
- Troponin
- TWI
- U-waves
- unifascicular
- unstable bradycardia
- unstable tachyarrhythmia
- 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
- VF
- voltage
- VT
- VT mimics
- w Voltage
- waveforms
- waves
- WCT
- Wellens
- Wellens waves
- Wellens’ syndrome
- 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
- 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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