aVR

Results:
Weekly Workout May 29, 2022
Potpourri of cases: diffuse subendocardial myocardial ischemia with ST segment elevation in aVR and diffuse ST segment depressions, the ECG findings in severe hyperkalemia, Wellens syndrome, and more!

A 39-year-old male with PMHx of HTN presents to the ED with severe chest pain and abdominal pain. The following ECG is obtained:

Weekly Workout April 5, 2021
Differential Diagnoses: the many causes of ST segment elevation

A 69-year-old woman presents to the ED with chest pain and shortness of breath. The following ECG is obtained:

Weekly Workout January 11, 2021
Potpourri of cases: critical electrolyte abnormalities, clumped or grouped beats, and so much more!

 A 73-year-old man presented to the ED with chest pain and is noted to be hypotensive (95/45). The following ECG was obtained:

Weekly Workout August 19, 2019
EMS ECGs: opportunity to save lives prehospital by recognizing severe hyperkalemia

A 69-year-old man presents to the emergency department with palpitations. He is otherwise well. The following ECG is obtained:

Weekly Workout March 18, 2019
The many causes of ST segment elevation in aVR and a discussion on the ECG findings in severe hypokalemia

A known local alcoholic presents to the emergency department with weakness. The patient has been laying on a mattress in a field for most of the past week. He says…

Weekly Workout March 11, 2019
Differential Diagnoses: ST segment elevation in aVR

A 53-year-old man presents to the emergency department with syncope. The patient reports abrupt onset of severe, sharp chest/thoracic pain prior to the syncopal episode. The following ECG was obtained…

Weekly Workout November 26, 2018
Literature Review: severe hyperkalemia, ST segment elevation in aVR, and many more interesting topics

A 60-year-old woman with PMHx of HTN is brought in by EMS with chest pain and diaphoresis. The following prehospital ECG was obtained:

Weekly Workout November 12, 2018
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)

A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:

Weekly Workout January 1, 2018
Differential Diagnoses: wide QRS, right axis deviation, tall R wave in V1

HPI: A 76-year-old woman presents to the ED with dyspnea and a syncopal episode. History is limited because the patient is listless and confused. The following ECG was obtained: Case…

Weekly Workout October 23, 2017
Literature Review: aVR – The forgotten 12th lead

A 55-year-old man with PMHx of end stage renal disease on dialysis presents to the ED for fatigue and pain all over. He denies ischemic chest pain. The following ECG…

Weekly Workout October 16, 2017
Differential Diagnoses: ST segment elevation in aVR

A 74-year-old man presents to the ED for chest pain with exertion for the past 2 hours.  He appears diaphoretic and acutely ill. The following ECG is obtained:

Weekly Workout May 22, 2017
ECG Basics and Fundamentals: must knows in patients with ST segment elevation in aVR

An 80-year-old man is brought to the ED by EMS for chest pain and dyspnea. He is found to be tachypneic, tachycardic, hypoxic, with a blood pressure of 105/50. The…

Weekly Workout May 15, 2017
Differential Diagnoses: ST segment elevation in aVR with multilead ST segment depression

A 74-year-old male presents to the ED with 1 day of epigastric pain, vomiting, and profuse watery diarrhea. 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 July 11, 2016
Differential DIagnoses: tall R wave in lead V1

An 80-year-old man is brought in by ambulance to the ED for chest pain and dyspnea. He looks sick on exam and is found to be hypotensive, tachycardic, and tachypneic….

Weekly Workout November 8, 2015
Literature Review: which patients should go to the cath lab for reperfusion emergently? (Part 3/3)

HPI: A 60-year-old male with a history of CAD with a pacemaker presents to the ED with acute chest pain that radiates to the left arm. Pain is worse with…

Weekly Workout February 23, 2015
Differential Diagnoses: the biggest reason we miss a diagnosis is that we make a diagnosis, and then stop looking

HPI:  An unresponsive 45-year-old male is brought in to your ED by ambulance. His wife found him unconscious at home and called 911. History is otherwise limited. Case ECG  

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