STE

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 January 5, 2020
ECG Basics & Fundamentals: normal and expected findings in right bundle branch block (RBBB) vs patients with occlusion MI

A 61-year-old male with PMHx of atrial fibrillation on anticoagulation presents to the ED with chest pain for 1 day after eating beef stew. He is concerned about having bad…

Weekly Workout June 17, 2019
Acute chest pain in a patient with a known right bundle branch block (RBBB)

 A 63-year-old male with multiple cardiac risk factors presents to a busy ED with chest pain. He has normal vital signs and a known right bundle branch block. The following…

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 April 23, 2018
Differential Diagnoses: when STEMIs can present with right axis deviation

HPI:  A 57-year-old with PMHx of HTN and cigarette smoking presents to the ED with chest pain and dyspnea. The following ECG is obtained: Case ECG Before watching this week’s…

Weekly Workout August 1, 2016
ECG Basics & Fundamentals: A systematic approach to EGC interpretation and using differentials for ST segment elevation

A 61-year-old man presents to the ED with malaise, nausea and lightheadedness. The following ECG is obtained:

Weekly Workout April 18, 2016
STAT ECG Diagnoses: Post-cardiac arrest ECG with this pattern, what is the most likely cause of arrest and would you activate the cath lab?

An elderly male with no known past medical history is brought into the ED via EMS s/p cardiac arrest. He was found to be unresponsive with a weak pulse at…

Weekly Workout April 10, 2016
How much ST segment elevation is acceptable in patients with a right bundle branch block

A 75-year-old man presents to the ED with weakness and dyspnea. The following ECG was obtained:

Weekly Workout January 10, 2016
ECG Basics & Fundamentals: using a systematic approach to identify the cause of ST segment elevation

A 49-year-old man presents to the ED with nausea, lightheadedness, arthralgias and malaise. He appears dehydrated but has an otherwise normal exam. The following ECG is obtained:

Weekly Workout January 26, 2015
ECG Basics & Fundamentals: “just because electrocardiography is a basic skill in medicine, doesn’t mean that our ECG skills should be basic”

HPI: 43-year-old male presents with mid-sternal chest tightness. History is otherwise limited. Vitals: HR-110, otherwise normal vitals. Case ECG

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