Complete Heart Block

Results:
Weekly Workout January 29, 2024
2024 EMS Cases Part II

A 56-year-old woman is being brought in by EMS for palpitations. The following EMS ECG is obtained and transmitted:

Weekly Workout January 22, 2024
2024 EMS Cases Part I

A 64-year-old man is being brought in by EMS for chest pain and shortness of breath. The following EMS ECG is obtained:

Weekly Workout April 10, 2023
Wide Complex Tachycardias: distinguishing malignant arrhythmias from their mimics

A 65-year-old woman with PMHx of Parkinson’s disease presents to the emergency department after an episode of syncope. She continues to feel unwell on arrival and appears diaphoretic, blood pressure…

Weekly Workout January 8, 2023
STAT ECG Diagnoses: differential diagnoses for low voltage QRS complexes and ventricular arrhythmias in patients with left ventricular assist devices (LVADs)

An 82-year-old man is brought to the emergency department with confusion and decreased level of consciousness. He is noted to be hypotensive, bradycardic, hypothermic, and hypoglycemic. The following ECG is…

Weekly Workout November 13, 2022
Potpourri of cases: differential diagnoses for long QTc intervals, diagnosing occlusion MI in LBBB and paced rhythms, and so much more!

A 48-year-old woman is brought into the emergency department with fever and altered mental status. The following ECG is obtained on arrival:

Weekly Workout September 12, 2022
STAT ECG Diagnoses: isorhythmic AV dissociation and complete heart block

A 43-year-old man with a history of demand pacemaker placement gets the following routine ECG during outpatient follow up with his primary care provider:

Weekly Workout September 4, 2022
Bradyarrhythmias: the nuances of complete heart blocks

A 50-year-old man presents to the emergency department with generalized weakness and lightheadedness. He is noted to be bradycardic, and the following ECG is obtained:

Weekly Workout August 21, 2022
Bradyarrhythmias: rash, a history of tick bite, and slow regular rhythms

A 61-year-old man presents to the emergency department with generalized weakness and dyspnea. He reports a recent tick bite and associated circular rash with target-like appearance to the arm. He…

Weekly Workout January 30, 2022
STAT ECG Diagnoses: ventricular conduction in atrial flutter

 A 92-year-old man is brought into the ED with near syncope and lightheadedness. He mentions he has been non-compliant with his medications, but history is otherwise limited. He is found…

Weekly Workout January 23, 2022
Rhythm Interpretation: differential diagnoses for electrocardiographic polyuria in unstable bradycardias

An 88-year-old man is brought into the ED with lightheadedness and palpitations.  The following ECG is obtained: 

Weekly Workout January 16, 2022
Bradyarrhythmias: differentiation of Mobitz and other atrioventricular (AV) blocks

An 83-year-old woman is brought into the ED with lightheadedness and is noted to be bradycardic. The following ECG is obtained: 

Weekly Workout January 3, 2022
EMS ECGs: hypothermia emergencies, accelerated idioventricular rhythm (AIVR), and so much more!

 A 63-year-old male presents to the ED with chest ache, near syncope, and exertional lightheadedness. The following ECG is obtained: 

Weekly Workout December 21, 2020
Bifascicular blocks, BRASH syndrome, and so much more!

This week we will continue discussing 6 more interesting prehospital EMS ECGs. Let’s start with this 78-year-old woman with PMHx of HTN who called an ambulance for generalized weakness associated…

Weekly Workout December 14, 2020
How to distingusish between left anterior vs. posterior fascicular blocks (LAFB vs. LPFB), hyperkalemia emergencies, and much more!

This week we will quickly review 6 interesting prehospital EMS ECGs. Let’s start with this 46-year-old man who called an ambulance for chest pain and was noted to be diaphoretic….

Weekly Workout September 7, 2020
AV Block Bootcamp (Episode 3/3): the answer lies in the PR segment!

HPI: A 72-year-old female presents to the ED with chest pain and lightheadedness. The following ECG is obtained:

Weekly Workout August 31, 2020
AV Block Bootcamp (Episode 2/3): what is the atrium doing, what is the ventricle doing, and what is their relationship?

A 72-year-old female presents to the ED with dyspnea. The following ECG is obtained:

Weekly Workout August 24, 2020
AV Block Bootcamp (Episode 1/3): differential diagnoses for non-conducted P waves, what you need to know to clinch the diagnosis!

A 78-year-old female presents to the ED with lightheadedness and bradycardia. The following ECG is obtained:

Weekly Workout June 1, 2020
2020 ECG Competition Answers (Part 1/2)

This week we review the answers to the first 6 questions from the 8th annual UMEM Residency ECG Competition.  Make sure to attempt to answer the questions before clicking the red…

Weekly Workout July 1, 2019
2019 ECG Competition Answers (Part 2/3)

This week we review the answers to questions 7-11, & 13 from the 7th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red…

Weekly Workout June 24, 2019
2019 ECG Competition Answers (Part 1/3)

This week we review the answers to the first 6 questions from the 7th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red…

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