Weekly Workout April 20, 2020
ECG Basics & Fundamentals: new tall upright T waves in lead V1

A 53-year-old woman with PMHx of HTN and DM presents with atypical chest pain. She is noted to have a completely normal baseline ECG. The following ECG is obtained:

Weekly Workout March 2, 2020
Differential Diagnoses: large T waves and prolonged QT intervals

A 40-year-old man presents with palpitations and malaise. Vital signs are within normal limits with a normal temperature. The following ECG is obtained:

Weekly Workout December 30, 2019
STAT ECG Diagnoses: abnormal T waves and T wave alternans

An elderly male presents with weakness and lightheadedness to his primary care physician. He is referred to the ED after the following 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 July 22, 2019
ECG Basics & Fundamentals: hyperacute T waves

A 59-year-old male presented to the emergency department with chest pain. The following ECG is obtained:

Weekly Workout December 24, 2018
Reverse Wellens Waves: not all biphasic T waves are indicative of ACS!

A 25-year-old woman presents to the emergency department with lightheadedness and palpitations for 1 week. Her symptoms worsened today with a near-syncopal episode. She is thin/frail and dehydrated in appearance….

Weekly Workout October 14, 2018
Differential Diagnoses: a triad of long QT interval, PVC’s, & ST segment depression

A 56-year-old woman presents to a busy ED dehydrated with acute gastroenteritis. She is placed in a hallway bed and treated with IV fluids and ondansetron. On reassessment the patient…

Weekly Workout October 8, 2018
ECG Basics and Fundamentals: how many STEMI patients present with nondiagnostic initial ECGs?

HPI:  A 52-year-old male with PMHx of HTN & HLD presents to the ED with chest pain and shortness of breath. He looks uncomfortable on exam and is hypertensive. The…

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 April 30, 2018
Loss of precordial T wave balance

HPI:  A 61-year-old woman presents to the ED with substernal chest pain and dyspnea. Her symptoms improve (but don’t resolve) with nitroglycerin. The following ECG is obtained, with no priors…

Weekly Workout October 8, 2017
Literature Review: De Winter T waves

A 48-year-old man presents to the ED for chest pressure associated with diaphoresis while riding his bike. The following ECG is obtained during active chest pain:

Weekly Workout March 27, 2017
STAT ECG Diagnoses: new T wave inversion or ST segment depression in aVL

A 66-year-old man presents to the ED with retrosternal chest pain that is associated with nausea. The following ECG is obtained:

Weekly Workout March 20, 2017
ECG Basics & Fundamentals: chest pain in young patient with no known cardiac risk factors

A 35-year-old man with no PMHx presents to the ED with dull burning chest pain that radiates to his left arm. The following ECG is obtained:

Weekly Workout January 18, 2016
ECG Basics & Fundamentals: reflux, burping, and improvement with antacids…can’t be cardiac, right?

A 71-year-old man with history of diabetes & HTN presents to the ED with chest discomfort and burping over the past few days. The discomfort has increased over the past…

Weekly Workout February 9, 2015
Differential Diagnoses: long QTc interval

HPI: 32-year-old female with PMHx of hyperthyroidism (on carbimazole) presents with jaundice and intermittent palpitations. She has mild RUQ abdominal pain, but is otherwise well. Vitals: HR~100, BP-130/70, RR-18, afebrile. Exam:…

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