Weekly Workout May 17, 2021
Differential Diagnoses: T wave inversions and a discussion about Wellens syndrome

 A 37-year-old male presents to the ED with a brief episode of sharp epigastric pain followed by ongoing nausea and diaphoresis. Exam is otherwise non-diagnostic. The following ECG is obtained…

Weekly Workout February 1, 2016
Differential Diagnoses: is this ECG pattern consistent with ACS or is there something else it could be?

A 59-year-old male with a PMHx of a HTN and anxiety presents the ED for progressive dyspnea on exertion over the past few weeks. He denies pain and appears comfortable….

Weekly Workout October 11, 2015
EMS ECGs: common mimics of acute coronary syndrome (ACS) and STEMI

A 73-year-old male is being transported by EMS to your ED for acute onset chest pain. He has a systolic blood pressure of 80. A prehospital ECG is obtained and…

Weekly Workout September 28, 2015
STAT ECG Diagnoses: abnormal T waves that suggest badness and their mimics

A 20-year-old man presents to the ED with chest pain. He has no past medical history, normal vital signs, and a normal exam. The following ECG is obtained:

Weekly Workout September 21, 2015
STAT ECG Diagnoses: activate the cath lab or get an urgent cardiology consult?

A 65-year-old woman is brought in by EMS with chest heaviness and mid-scapular pain for the past two hours. She received Aspirin and Nitroglycerin en route and arrives asymptomatic. The…

Weekly Workout September 14, 2015
Differential Diagnoses: right axis deviation in patients with syncope

HPI: A 49-year-old male with a history of chronic back pain presents to the ED with syncope. He describes 3 similar episodes over the past week with preceding dizziness. The…

Weekly Workout March 30, 2015
STAT ECG Diagnoses: inverted U waves

HPI:  A 58-year-old male presents with chest pressure and diaphoresis. The following ECG is done. Case ECG  

ECG Tags