Syncope
Results:
Literature Review: Brugada Syndrome
A 55-year-old man with no significant PMHx (on no medications) presents to the emergency department with right lower quadrant pain. He is afebrile on arrival, with mild sinus tachycardia. He…
Literature Review: Fever and ST segment elevation after syncope
A young woman presents to the ED after a syncopal episode. She hit her chest after falling and has reproducible chest wall tenderness on exam. She is also noted to…
Literature Review: ST segment elevation after syncope and cardiac arrest
A 22-year-old man with no known significant PMHx presents after syncope. He is asymptomatic on arrival with normal vital signs. History and physical exam is non-diagnostic. While an ECG is…
Differential Diagnoses: what to consider in patients who have isolated syncope and present asymptomatic
A 26-year-old woman presents to the ED after 2 episodes of lightheadedness and near syncope that lasted 30-60 seconds each. She is now asymptomatic with normal vital signs and a…
Differential Diagnoses: must know cardiac causes of syncope
A 22-year-old man presents to the ED after syncope. He reports walking around and experiencing chest discomfort and shortness of breath prior to the episode. He feels anxious on arrival…
Hyperacute T waves and serial ECGs in early ACS, AV blocks, and more on sustained vs. nonsustained ventricular tachycardia
An 80-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained:
Differential Diagnoses: AV blocks, tachyarrhythmias, and what you need to look for on the ECG of every patient with syncope
A 36-year-old woman is brought into the emergency department after an episode of syncope. She reports palpitations prior to the episode but is otherwise asymptomatic on arrival. Vital signs are…
STAT ECG Diagnoses: the differentials to consider when dealing with ST segment elevation and an impressive syndrome
A 61-year-old woman presents the ED for evaluation of a possible acute stroke. She woke up unable to walk due to bilateral lower extremity weakness and is now also feeling…
Potpourri of cases: the most common ECG findings in pulmonary embolism, electrical alternans, and so much more!
A 72-year-old woman presents the ED with atypical chest pain. She is found to be mildly tachycardic. The following ECG is obtained:
STAT ECG Diagnoses: a pediatric patient with syncope and an abnormal ECG
A 9-year-old boy with PMHx of asthma presents to the ED with multiple pre-syncopal episodes. He has been evaluated for similar symptoms in the past by multiple physicians who suspected…
STAT ECG Diagnoses: ECG findings of cardiac syncope, what you need to look for what you can’t miss!
A 55-year-old male with PMHx of COPD presents to the ED with dyspnea and chest pain. He is asymptomatic on arrival but reports two recent episodes of syncope without prodrome….
STAT ECG Diagnoses: Brugada ECG pattern vs. Brugada syndrome
A 22-year-old male presents to the ED after a brief syncopal episode. He is now asymptomatic; history and physical exam are non-diagnostic. The patient becomes unresponsive while getting the following…
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…
Syncope: what to consider when the history and physical exam are not suggestive of an etiology
A 20-year-old male presents to the ED after a syncopal episode while playing soccer. He reports feeling dizzy before collapsing. He was seen in the ED a few days ago…
Stepwise approach to ECG interpretation: systematic rhythm interpretation in a case of syncope
A 76-year-old male presents to the emergency department after an episode of syncope. He denies a prodrome and has no focal neurological complaints or findings. The following ECG was obtained:
Syncope: Brugada Syndrome
A 33-year-old woman has a syncopal episode while in the bathroom. The following ECG was obtained on arrival to the ED after the episode:
ECG reveals a can’t miss genetic cause of cardiac syncope
HPI: A 39-year-old woman with no PMHx was completing a treadmill stress test ordered by her primary care physician, when she had chest pain, palpitations and syncope. The following ECG…
ECG Basics and Fundamentals: Hypertrophic Cardiomyopathy
HPI: A 30-year-old female is brought to the ED after a syncopal episode. Her history and physcial exam are unremarkable. The following ECG is obtained: Case ECG Before watching this…
STAT ECG Diagnoses: epsilon waves in patient with syncope
A teenage girl presents to the ED after brief syncope during sports activity. The following ECG is obtained:
Prolonged QTC interval from severe hypokalemia
A 42-year-old woman presents to the ED with a seizure. She has been noncompliant with medications. She is now awake and well, though she appears malnourished. The following ECG was…
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- WPW syndrome and Pseudo-MI patterns
- WPW vs STEMI
- WPW with Antidromic SVT
- WPW with atrial fibrillation
- WPW with Orthodromic SVT
- WPW with SVT
- Young patients
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