U-waves
Results:
STAT ECG Diagnoses: the significance of inverted U waves
A 58-year-old man presents to the emergency department with acute onset chest pain and diaphoresis. The following ECG is obtained on arrival:
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….
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…
2015 ECG Competition Answers (Part 1/2)
This week we review the answers to the first 6 cases from the UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red boxes…
STAT ECG Diagnoses: inverted U waves
HPI: A 58-year-old male presents with chest pressure and diaphoresis. The following ECG is done. Case ECG
Differential Diagnoses: long QTc interval
HPI: 32-year-old female with PMHx of hyperthyroidism (on carbimazole) presents with jaundice and intermittent palpitations. She has mild RUQ abdominal pain, but is otherwise well. Vitals: HR~100, BP-130/70, RR-18, afebrile. Exam:…
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