STEMI

Results:
Weekly Workout September 12, 2016
STAT ECG Diagnoses: differential for ST segment depression in the anteroseptal leads

A 36-year-old woman with a past medical history of rheumatoid arthritis presents to the ED with 3 days of waxing and waning chest tightness. The pain is pleuritic and 4/10…

Weekly Workout September 5, 2016
STAT ECG Diagnoses: considerations in hypotensive STEMI patients

A 72-year-old woman presents to the ED by EMS with chest pain. She was noted to have normal vital signs and an unremarkable physical exam and given aspirin and nitroglycerin…

Weekly Workout August 22, 2016
Literature in support of Sgarbossa criteria (Part 2/2)

 A 73-year-old man presents to the ED with acute chest pain and nausea. He has a history of heart disease and has a pacemaker. The following ECG is obtained:

Weekly Workout August 15, 2016
Literature in support of Sgarbossa criteria (Part 1/2)

A 50-year-old man with a known left bundle branch block presents to the ED with acute chest pain. The following ECG is obtained:

Weekly Workout July 17, 2016
EMS ECGs: differentials to consider when dealing with ST elevation and right axis deviation in sick patients

A 26-year-old man presents to the ED with chest pain. The following prehospital ECG is obtained:

Weekly Workout June 12, 2016
Age as a cardiac risk factor

A 32-year-old woman presents to the ED with 2 hours of chest pain. She has a history of psychosis and smokes cigarettes. The following ECG is obtained:

Weekly Workout June 5, 2016
ECG Basics & Fundamentals: when does the QRS complex end and the ST segment begin in RBBB

A 67-year-old woman with PMHx of Diabetes is brought in by ambulance for 2 hours of chest pain. At arrival she reports mild associated arm pain. The following ECG is…

Weekly Workout May 29, 2016
ECG Basics & Fundamentals: diagnostic criteria for acute pericarditis

A 38-year-old man presents with mid-sternal, sharp chest pain. The pain is non-radiating, worse when supine, and is not associated with any diaphoresis or vomiting. The following ECG is done:

Weekly Workout May 8, 2016
2016 ECG Competition Answers (Part 1/2)

This week we review the answers to the first 6 cases from the 4th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before you watch the video!  Video…

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 December 14, 2015
Literature Review: appropriate vs inappropriate concordance in LBBB

  HPI:  A 76-year-old woman presents to the ED with chest pain that radiates to the neck, jaw and teeth. The pain is associated with nausea, dyspnea, and diaphoresis. The…

Weekly Workout November 23, 2015
DIfferential Diagnoses: subtle but deadly causes of syncope to consider

A 56-year-old woman presents to the ED with chest pain and has a syncopal episode prior to arrival. She has a past medical history of hypertension, hyperlipidemia, is a smoker,…

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 November 2, 2015
Literature Review: which patients should go to the cath lab for reperfusion emergently? (Part 2/3)

HPI: A 65-year-old male with PMHx of CAD and LBBB presents to the ED with substernal chest pressure and pain that radiates to the both arms. Pain is worse with…

Weekly Workout October 19, 2015
STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss

A 62-year-old male is being transported by EMS to the ED for acute onset chest pressure. He is noted to be hypotensive with a systolic blood pressure in the 50’s….

Weekly Workout June 15, 2015
STAT ECG Diagnoses: MI in paced rhythms

HPI: An 80-year-old woman presents to the ED with chest pain. The following ECG is obtained. Case ECG

ECG Tags
Loading...