Prolonged QT

Results:
Weekly Workout December 25, 2023
Christmas Case: Decoding the ECG of a 7-year-old boy with lightheadedness and palpitations

A 7-year-old boy visiting from London is brought into the emergency department for palpitations and lightheadedness. He has a history of prior long bone fractures, walks with crutches, and appears…

Weekly Workout September 11, 2023
5 more challenging cases from UMEM to test your ECG diagnostic skills

Test Yourself

Weekly Workout September 4, 2023
4 challenging cases from UMEM to test your ECG diagnostic skills

Test Yourself

Weekly Workout February 20, 2023
Must know ECGs you will see on board exams and have to recognize in real life

A 34-year-old man is brought to the emergency department with delirium and agitation. The following ECG is obtained:

Weekly Workout January 25, 2021
ECG Basics and Fundamentals: normal pediatric ECGs and how they differ from normal adult ECGs

 A 6-year-old female is brought into the ED for chest pain. The following ECG was obtained:

Weekly Workout April 13, 2020
Differential Diagnoses: T wave inversions and prolonged QTc interval

A 53-year-old woman with PMHx of HTN and DM presents with atypical chest pain. She is noted to have a completely normal baseline ECG. The following ECG is obtained:

Weekly Workout March 2, 2020
Differential Diagnoses: large T waves and prolonged QT intervals

A 40-year-old man presents with palpitations and malaise. Vital signs are within normal limits with a normal temperature. The following ECG is obtained:

Weekly Workout December 30, 2019
STAT ECG Diagnoses: abnormal T waves and T wave alternans

An elderly male presents with weakness and lightheadedness to his primary care physician. He is referred to the ED after the following ECG is obtained:

Weekly Workout October 6, 2019
Differential Diagnoses: interval abnormalities and the importance of not trusting the computer ECG interpretation

A 61-year-old woman presents from a nursing home for G-tube replacement. She reports lightheadedness and appears dehydrated. The following ECG is obtained:

Weekly Workout March 4, 2019
ECG Basics & Fundamentals: causes of prolonged ST segment

A 54-year-old woman presents to the emergency department with generalized weakness and nausea. She is tachycardic but otherwise has normal vital signs. The following ECG was obtained:

Weekly Workout December 24, 2018
Reverse Wellens Waves: not all biphasic T waves are indicative of ACS!

A 25-year-old woman presents to the emergency department with lightheadedness and palpitations for 1 week. Her symptoms worsened today with a near-syncopal episode. She is thin/frail and dehydrated in appearance….

Weekly Workout October 14, 2018
Differential Diagnoses: a triad of long QT interval, PVC’s, & ST segment depression

A 56-year-old woman presents to a busy ED dehydrated with acute gastroenteritis. She is placed in a hallway bed and treated with IV fluids and ondansetron. On reassessment the patient…

Weekly Workout August 13, 2018
ECG findings in severe hypokalemia that may mimic ACS

An 85-year-old woman with PMHx of atrial fibrillation is referred to the ED by her primary care physician who is concerned for cardiac ischemia. The patient has been having epigastric…

Weekly Workout June 18, 2018
Wide Complex Tachycardias: the three major types of ventricular tachycardia

A 60-year-old man presents to the ED chest pain concerning for ACS, and a prehospital ECG concerning for inferior STEMI. The following ECG is obtained on arrival to the ED:

Weekly Workout August 28, 2017
STAT ECG Diagnoses: when to avoid amiodarone

A 45-year-old man presents with nausea and vomiting. He appears dehydrated and reports taking furosemide chronically. Treatment with IV fluids and ondansetron is initiated, and the following rhythm strip is…

Weekly Workout February 20, 2017
Differential Diagnoses: rollercoaster T waves

A 45-year-old woman presents to the ED with lethargy. BP = 100/50, HR = 60, RR= 12 & shallow. Her nurse thought her rhythm looked abnormal on the cardiac monitor…

Weekly Workout January 30, 2017
Differential Diagnoses: a 5 step approach to comprehensive ECG interpretation

A 46-year-old man presents to the ED with generalized weakness and body aches. He is noted to have normal vital signs. The following ECG is obtained:

Weekly Workout December 11, 2016
Differential Diagnoses: the most likely causes of a prolonged QT interval

A 70-year-old woman presents to the ED with upper abdominal pain and vague paresthesias. The following ECG is obtained:

Weekly Workout December 3, 2016
Generalized weakness with biphasic T waves in the anterior leads

A young man presents to the ED with generalized weakness. The following ECG is obtained:

Weekly Workout August 8, 2016
Differential Diagnoses: QT interval considerations in patients with palpitations

A 54-year-old woman presents to the ED with lightheadedness, palpitations, muscle cramps, and upper extremity paresthesias. The following ECG is obtained:

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