A 64-year-old man presents to the emergency department with palpitations. He was recently found to have an acute MI and is one day s/p RCA stenting. The following ECG is…
Key Points VT is a ventricular-origin rhythm: ≥3 consecutive ventricular beats, QRS >120 ms, rate usually 120–250 bpm. Types include monomorphic VT, polymorphic VT, torsades (PMVT with long QT), ventricular…
It’s safe to assume that board exams will test your ability to diagnose and manage wide complex tachyarrhythmias. Here is a challenging wide complex rhythm in a patient with palpitations…
A 67 -year-old man presents to a busy emergency department with acute chest pain and shortness of breath. The following ECG is obtained, but he leaves without being seen because…
A 60-year-old man presents to the emergency department with left sided chest pain and lower extremity edema. Initial vitals: HR= 155, BP = 120/96, RR = 22, SpO2 = 90%,…
A 54-year-old man with no significant PMHx presents to the ED with palpitations. He is hemodynamically stable with a normal blood pressure. The following ECG is obtained prior to the…
A 45-year-old man with PMHx of hypertension, obesity, and tobacco use presents to the ED with palpitations. Symptoms have been intermittent throughout the day with an associated episode of syncope….
A 60-year-old male presents to the ED with acute chest pain and lower extremity edema. He is noted to be tachycardic on arrival. The following ECG is obtained:
A 66-year-old man is transferred to the ED from an urgent care where he presented for shortness of breath and was diagnosed with heart failure. He was recently discharged s/p…
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:
A 69-year-old man presents to the emergency department with palpitations. He is otherwise well. The following ECG is obtained:
A 44-year-old man with PMHx of diabetes is transported to the ED by EMS for lethargy and altered mental status. His finger stick blood glucose measurement read as “high”. The…
A 74-year-old woman presents to the ED with shortness of breath. She has been taking azithromycin for cough. The following ECG is obtained:
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…