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
- 11th Annual UMEM ECG Competition
- 1st degree AV Block
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- 2:1 AVB
- 2015 ECG Competition
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- ECG Basics
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- History of presenting illness
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- Hypercalcemia
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- Hypertrophic Cardiomyopathy
- Hypertrophic obstructive cardiomyopathy
- Hypocalcemia
- Hypokalemia
- Hypothermia
- Idioventricular rhythms
- Impressive syndrome
- inferior STEMI
- Intermittent WPW
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- Intractable chest pain
- inverted P Waves
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- IRBBB
- Irregular rhythm
- irregular rhythms
- Ischemia
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- Isolated Posterior STEMI
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- J point
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- junctional rhythm
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- LAD
- LAFB
- Large T-waves
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- lead misplacement
- lead V1
- Left axis deviation
- left posterior fascicular block
- Lewis lead
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- limb lead misplacement
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- Literature review
- Long QT
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- MAT
- Mechanisms of ACS
- MI
- Mobitz
- Mobitz conduction
- Mobitz I
- Mobitz II
- Mobitz II AV block
- Modified Sgarbossa criteria
- monomorphic VT
- Multifocal atrial tachycardia
- Myocarditis
- Myxedema
- Na channel blocker toxicity
- narrow & irregular tachycardia
- narrow & regular tachycardia
- Narrow complex and regular rhythms
- Narrow complex irregular rhythms
- Narrow complex irregular tachycardia
- Narrow Complex Regular Tachycardia
- Narrow Complex Tachycardia
- Nikelekam T-waves
- non-conducted PACs
- Non-STE ACS
- Non-sustained Ventricular tachycardia
- Non-sustained VT
- Nonspecific intraventricular conduction delay
- nonsustained ventricular tachycardia
- Normal ECG
- Normal Sinus Rhythm
- Normal variant patterns
- normal variant ST elevation
- Normal variants
- NSVT
- Occlusion MI
- OMI
- Osborn waves
- overdose
- PAC
- PAC’s
- Paced rhythms
- Pacemaker
- Pacer
- palpitations
- Pauses and clumped beats
- PE
- PE vs. STEMI
- Pediatric ECG
- Pediatric ECG Interval Table
- Pediatrics
- Pericardial effusion
- Pericardial Tamponade
- Pericarditis
- Periodic paralysis
- Persistent juvenile T-wave pattern
- PFO
- plaque rupture
- plaque vulnerability
- Polymorphic Ventricular Tachycardia
- Polymorphic VT
- Polyuria
- Poor R-wave progression
- post arrest ECG
- post-arrest
- Post-arrest NSTE-ACS
- Post-arrest STEMI
- post-cardiac arrest ecg
- Posterior MI
- Posterior STEMI
- Potpourri
- PR segment
- PR segments
- Pre-hospital ECG
- preexcitation
- preexcitation syndrome
- Preexcitation syndromes
- Pregnancy
- Prehospital ECG
- Premature beats
- Premature complexes
- premature contractions
- Prolonged QT
- Prolonged QT interval
- prolonged QTc
- PRWP
- Pseudo Wellens
- Pseudo-Wellens waves
- Pseudonormalization of T-waves
- Pulmonary Embolism
- pulmonary hypertension
- PVC
- PVCs
- PVT
- Q-waves
- QRS fragmentation
- QRS-interval
- R waves
- R-on-T phenomenon
- R-wave
- R-wave in V1
- R-wave progression
- RAD
- rate & rhythm
- RBBB
- Really wide complex tachycardia
- reciprocal changes
- Reflux
- Regular Really Wide Complex Tachycardia
- Regular Wide Complex Tachycardia
- Regularized atrial fibrillation
- repolarization abnormalities
- Rescue PCI
- Resolved ST segment elevation
- Respiratory variation
- Retrograde P waves
- Revised Sgarbossa Criteria
- Rhythm
- Rhythm Interpretation
- Right axis
- Right Axis Deviation
- Right bundle branch block
- right heart strain
- Right sided leads
- Right Ventricular Hypertrophy
- Rightward axis
- rollercoaster T waves
- RRWCT
- RV MI
- RV STEMI
- RVMI
- RWCT
- S wave
- SAH
- Salvador Dali
- Seizure
- Seizures
- Septal STEMI
- Serial ECG
- Serial ECGs
- Severe hypothyroidism
- Sgarbossa
- Sgarbossa Criteria
- Shark fin morphology
- Shark fin STEMI
- Short PR interval
- Short QT
- Short QT interval
- Short QTc
- Sinus arrest
- sinus arrhythmia
- sinus rhythm
- Sinus rhythms
- Sinus Tachycardia
- Sloof Lirpa Sign
- Slow Atrial fibrillation
- Sodium channel blocker toxicity
- South Africa sign
- Spiked Helmet sign
- Spodick Sign
- Spodick’s Sign
- ST
- ST depression
- ST depression V1-V4
- ST Elevation
- ST segment elevation
- ST-segment
- ST-segment depression
- STD
- STE
- STE in aVR
- STEMI
- STEMI equivalent
- STEMI equivalents
- STEMI mimics
- STEMI vs. acute pericarditis
- STEMI vs. Early repolarization
- strain
- Stress Testing
- Stress tests
- Sustained VT
- SVT
- Syncop
- Syncope
- Systematic approach to ECG
- T wave inversion differential
- T-wave abnormalities
- T-wave alternans
- T-wave inversion
- T-wave inversions
- T-waves
- Tachycardia
- Tall R wave in V1
- Tamponade
- TCA
- TCA overdose
- TCA toxicity
- Terminal QRS distortion
- Thrombolytics
- Torsades
- Torsades de pointes
- torsades de points
- Toxicology
- TP segment
- Transient STEMI
- Tremor artifact
- Trigeminy
- Troponin
- TWI
- U-waves
- unstable bradycardia
- V1
- V1/V2
- vasospasm
- Ventricular aneurysm
- Ventricular dysrhythmias
- Ventricular fibrillation
- Ventricular rhythm
- Ventricular rhythms
- Ventricular Tachycardia
- Ventricular tachycardia mimics
- Ventricular tachycardia vs. SVT with aberrant conduction
- Ventricular Tachycardiak
- VF
- VT
- VT mimics
- w Voltage
- WCT
- Wellens
- Wellens waves
- Wellens’ syndrome
- Wide complex QRS
- wide complex regular tachycardia
- Wide complex tachycardia
- Wide QRS
- Wide QRS interval
- wide vs. narrow QRS
- Wolff Parkinson White
- WPW
- WPW with atrial fibrillation
- WPW with SVT
- Young patients
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