Tachycardia

Results:
Weekly Workout January 9, 2022
STAT ECG Diagnoses: identification of acute coronary occlusion myocardial infarction in patients with bundle branch blocks

A 70-year-old woman is brought into the ED by EMS with shortness of breath, weakness, and hypotension. The following prehospital ECG is obtained: 

Weekly Workout November 16, 2020
Literature Review: pearls and pitfalls in the ECG diagnosis for ventricular tachycardia

A 45-year-old with no known past medical history presents to the ED with palpitations. She is hemodynamically stable. The following ECG is obtained:

Weekly Workout July 13, 2020
Great EMS cases that highlight hypothermia emergencies, the ECG findings in acute pulmonary embolism, and so much more!

A 39-year-old woman is being taken to the ED by EMS for palpitations and lightheadedness. She is noted to be tachycardic. The following ECG is obtained:

Weekly Workout March 22, 2020
Literature Review: COVID and the Heart

A 45-year-old man with a history of severe cardiomyopathy presents with palpitations. The following ECG is obtained:

Weekly Workout March 15, 2020
Differential Diagnoses: narrow complex regular tachycardias

A 64-year-old man presents with palpitations. The following ECG is obtained:

Weekly Workout February 24, 2020
STAT ECG Diagnoses: how to use ECG differentials to clinc the diagnosis in patients who are altered and can not provide a reliable history

A 50-year-old woman is found unconscious by a family member this morning. She was last known normal yesterday afternoon. On arrival to the ED she is minimally responsive and only…

Weekly Workout February 11, 2019
STAT ECG Diagnoses: the ECG findings in sodium channel blocker toxicity

A father calls an ambulance for his 16-year-old daughter who is not feeling well. She has been listless and having palpitations. She is found to be tachycardic with a normal…

Weekly Workout January 28, 2019
STAT ECG Diagnoses: REALLY wide complex tachycardia

A patient is brought into the emergency department with palpitations, weakness, and shortness of breath. She has a normal blood pressure. The following ECG is obtained:

Weekly Workout December 3, 2018
EMS ECGs: S1Q3T3, is it pathognomonic for acute pulmonary embolism

A 63-year-old woman presents to the emergency department with palpitations. The following ECG was obtained by EMS prior to arrival:

Weekly Workout July 16, 2018
The Bix rule in narrow complex tachycardia

A 63-year-old man is brought in by EMS to the ED with palpitations. The following prehospital ECG is obtained:

Weekly Workout May 7, 2018
How to avoid misdiagnosing the most overcalled tachyarrhythmia by physicians and EGC machines

HPI:  A 64-year-old man presents to the ED with nausea and vomiting. He is tachycardic on arrival and the following ECG is obtained: Case ECG Before watching this week’s video,…

Weekly Workout March 11, 2018
Differential Diagnoses: three main causes of narrow complex irregular tachycardias

HPI:  A 65-year-old male is brought to the ED with altered mental status. He seems confused and is found to be tachycardic and hypotensive (SBP=75). The following ECG is obtained…

Weekly Workout January 23, 2017
EMS Cases: The definition of normal sinus rhythms and so much more!

A 89-year-old woman calls EMS for palpitations. The following ECG is obtained:

Weekly Workout December 17, 2016
Differential Diagnoses: fever and altered mental status

A 23-year-old woman presents to the ED with altered mental status and agitated delirium. She is noted to be tachycardic and febrile to 107F. The following ECG is obtained:

Weekly Workout November 14, 2016
STAT ECG Diagnoses: can’t miss type of wide complex irregular tachycardia

A 37-year-old man is brought to the ED with episodes of palpitations. In the ED he has intermittent episodes of wide complex tachycardia. He is hemodynamically stable. The following ECG…

Weekly Workout November 6, 2016
ECG Basics & Fundamentals: electrical cardioversion of an unstable regular wide complex tachycardia

A 50-year-old man is brought to the ED with a regular wide complex tachycardia (RWCT) shown below. He is pain free with a normal blood pressure and mental status. His…

Weekly Workout September 19, 2016
Differential DIagnoses: right axis deviation, prolonged QT interval, and a wide QRS

A 46-year-old man with no known past medical history presents to the ED with recurrent witnessed seizures, actively seizing. The seizures are not responding to treatment with benzodiazepines. The following…

Weekly Workout July 24, 2016
Differential Diagnoses: the main three things that cause narrow complex regular tachycardias

A 51-year-old man presents to the ED with generalized weakness and palpitations. The following prehospital ECG is obtained:

Weekly Workout July 4, 2016
Does response to adenosine rule out ventricular tachycardia?

A 54-year-old man with no PMHx presents to the ED with palpitations. He is noted to be tachycardic but is stable with a normal blood pressure. The following ECG is…

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…

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