ACS
Results:
STAT ECG Diagnoses: beware the checkmark sign
A 51-year- old woman presents with progressive left wrist pain for the past 2 weeks. She also reports intermittent chest pain, back pain, headache and malaise. The following ECG was obtained…
Literature Review: does GERD provoke myocardial ischemia in patients with coronary artery disease?
A 55-year-old man presents to the ED with intermittent chest pain. He describes transient burning sensation that comes on only after eating. His pain does not radiate, and is not…
Literature Review: Wellens syndrome
A 55-year-old man presents to the ED with intermittent chest pain for 4 days. He has no known medical history and smokes 1 pack of cigarettes a day. He is…
ECG Basics & Fundamentals: when to get posterior leads
A 70-year-old man presents to the ED with ischemic chest pain. The following ECG is obtained:
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:
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:
Literature Review: 2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes (Class IA recommendations)
A 70-year-old woman with PMHx of HTN and DM, presents to the ED with retrosternal chest pain that radiates to her left arm. The following ECG is obtained:
STAT ECG Diagnoses: the most commonly missed STEMI does not have ST segment elevation
A 70-year-old man presents to the ED with radiating chest tightness, nausea, and diaphoresis. The following ECG is obtained:
STAT ECG Diagnoses: ST segment depression in precordial leads
A 52-year-old man with history of hyperlipidemia and smoking presents to the ED with 2 hours of radiating chest pressure associated with diaphoresis and dyspnea. The following ECG is obtained:
Literature Review: non-ST segment elevation ACS
A 69-year-old woman with history of diabetes presents to the ED with radiating chest pressure associated with diaphoresis. Her initial ECG did not meet cath lab criteria but had non-specific…
Cardiac arrest after this ECG: what is the most likely cause?
A 60-year-old man presents to the ED with midsternal chest pain that has been intermittent throughout the day. He collapses on arrival and suffers a cardiac arrest from which he…
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…
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
Literature Review: age as a cardiac risk factor, what age is too young to have a myocardial infarction (MI)?
HPI: 25-year-old male smoker presents with left arm and upper back pain. He also has mild epigastric pain, associated with vomiting x 4 episodes. Vitals: HR-100, BP-110/70, RR-22, SpO2-100%, afebrile….
ECG Basics & Fundamentals: A stepwise approach to ECG interpretation in patients with chest pain and clinical concern for an acute coronary syndrome (ACS) with pearls and pitfalls in obtaining chest pain histories
HPI: 61 year old male with significant cardiac risk factors presents with chest pain that that radiates down both arms. The pain is exertional and improves with rest. His pain…
ECG Tags
- 11th Annual UMEM ECG Competition
- 1st degree AV Block
- 1st degree AVB
- 2:1 AV Block
- 2:1 AVB
- 2015 ECG Competition
- 2015 ECG Competition Part II
- 2016 ECG Competition
- 2017 ECG Competition Part II
- 2018 ECG Competition Part II
- 2019 ECG Competition
- 2020 ECG Competition
- 5 Step Approach
- 5-FU
- aberrancy
- Aberrant conduction
- Accelerated idioventricular rhythm
- Acidosis
- ACS
- ACS mimics
- ACS RIsk Factors
- Acute MI
- Acute Pericarditis
- Adenosine sensitive VT
- Advanced AV block
- Afib
- Afib with WPW
- AIVR
- AMI
- Amiodarone
- Anemia
- Anterior STEMI
- Aortic Dissection
- Approach to ECG
- Approach to ECG interpretation
- April Fools
- Arrhythmogenic right ventricular cardiomyopathy
- Arrhythmogenic right ventricular dysplasia/cardiomyopathy
- Arrhythmogenic RV Dysplasia
- Artifact
- ARVC
- ARVD
- ASD
- Ashman phenomenon
- Aslanger
- Aslanger's Pattern
- Atherosclerosis
- Athlete’s ECG
- atrial arrhythmias
- Atrial dysrhythmias
- Atrial fibrillation
- Atrial Fibrillation with WPW
- Atrial flitter
- Atrial flutter
- Atrial parasystole
- Atrial septal defect
- Atrial tachycardia
- Atrifact
- AV Block
- AV Blocks
- AV Dissociation
- AVB
- AVD
- aVL
- aVR
- Axis
- Barcelona criteria
- Basics
- BBB
- Benign early repolarization
- BER
- bigeminy
- Biphasic T-waves
- Bix rule
- Bizzare rhythm
- Blocked PAC’s
- Board review
- Bradycardia
- BRASH syndrome
- Brugada
- Brugada Pattern
- Brugada syndrome
- CAD
- Cardiac arrest
- Cardiac tamponade
- Cardioversion
- CCB toxicity
- CHB
- Chemotherapy
- Chest Pain
- clumped beats
- Cocaine toxicity
- Complete Heart Block
- Computer ECG interpretation
- Computer interpreted ECGs
- Computer interpreted electrocardiograms
- coronary angiography
- COVID-19
- Crochetage
- Crochetage pattern
- de Winter T-wave
- de Winter T-waves
- Delta waves
- deWinter
- deWinter T-waves
- Dextrocardia
- Diffuse ST elevation
- Diffuse ST-segment Elevation
- Diffuse STE
- Digoxin effect
- Digoxin toxicity
- DKA
- Dysrhythmia
- Dysrhythmias
- Early cardiac ischemia
- Early ECG evidence of ischemia
- Early ischemia
- Early ischemic changes
- Early reciprocal changes
- Early Repolarization
- early repolarization vs/ STEMI
- early signs of cardiac ischemia
- early signs of ischemia
- ECG Basics
- ECG Competition 2023
- ECG interruptions
- Ectopic atrial rhythm
- Ectopic beats
- electrical alternans
- Electrical storm
- Electrocardiographic polyuria
- Electrolytes
- Elevated intracranial pressure
- Emergent cath lab activation
- EMS
- EMS cases
- Epsilon waves
- escape rhythm
- Evolving STEMI
- Fascicular blocks
- GERD
- grouped beats
- Guidelines
- Heart block
- High grade AV block
- high grade AV blocks
- high lateral STEMI
- High Voltage
- Himalayan T-waves
- History of presenting illness
- HOCM
- Hypeacute T waves
- Hyperacute T-waves
- Hypercalcemia
- Hyperkalemia
- hyperkalemia mimics
- Hyperkalemic Periodic Paralysis
- Hypertrophic Cardiomyopathy
- Hypertrophic obstructive cardiomyopathy
- Hypocalcemia
- Hypokalemia
- Hypothermia
- Idioventricular rhythms
- Impressive syndrome
- inferior STEMI
- Intermittent WPW
- Intracranial hemorrhage
- Intractable chest pain
- inverted P Waves
- Inverted U-waves
- IRBBB
- Irregular rhythm
- irregular rhythms
- Ischemia
- Ischemic T-waves
- Isoelectric baseline
- Isoelectric segment
- Isolated Posterior STEMI
- Isorhythmic AV dissociation
- Isorhythmic AVD
- J point
- J wave
- J-waves
- junctional rhythm
- Junctional rhythms
- Juvenile T wave inversions
- Juvenile T-wave pattern
- LAD
- LAFB
- Large T-waves
- LBBB
- lead misplacement
- lead V1
- Left axis deviation
- left posterior fascicular block
- Lewis lead
- LGL
- limb lead misplacement
- Limb lead reversal
- Literature review
- Long QT
- Long QT-interval
- Long QTc
- long ST segment
- Low Voltage
- Low voltage QRS
- LPFB
- LVAD
- LVAD Dysrhythmias
- LVADs
- LVH
- LVH with strain pattern
- Lyme carditis
- Marijuana
- Massive STEMI
- 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 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
- WPW
- WPW with atrial fibrillation
- WPW with SVT
- Young patients
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