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ECG Basics and Fundamentals: T wave inversions and the importance of precordial lead placement
A 32-year-old female with a PMHx of obesity and tobacco use presents to the emergency department with 1 day of sharp midsternal chest pain. Pain is intermittent, non-radiating, and associated…
EMS ECGs: regular and irregular narrow complex tachycardias, junctional rhythms, the ECG in LVAD patients, and more!
A 62-year-old man is found unresponsive at home. The following EMS ECG is obtained:
EMS ECGs: what isoelectric baseline should be used to measure ST segment deviation, arrhythmias, hypotension in patients with MI, and more!
A 54-year-old man presents to the emergency department by EMS with ischemic chest pain and is found to be hypotensive. The following ECG is obtained:
Rhythm Interpretation: electrocardiographic polyuria (too much P…waves) and how to successfully break down complicated rhythms
A 54-year-old man presents to the emergency department reporting that his heart feels like it is skipping beats. He is noted to be bradycardic on arrival. The following ECG is…
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…
Differential Diagnoses: narrow complex irregular tachycardia, short QTc intervals, ST segment elevation in aVR, and so much more!
An 89-year-old woman is brought into the emergency department with generalized weakness and dizziness. She is noted to be bradycardic at triage. The following ECG is obtained with no prior…
Differential DIagnoses: AV blocks, prolonged QTc intervals, T wave inversions, and more!
A 50-year-old woman is brought into the emergency department unresponsive. History is otherwise limited. The following ECG is obtained with no prior ECGs available for comparison:
ECG Basics and Fundamentals: subtle early signs of acute cardiac ischemia
A 57-year-old man presents to the emergency department with chest pain concerning for MI. The following ECG is obtained with no prior ECGs available for comparison. Cardiology is contacted and…
Literature Review: the value of a recent negative stress test in the evaluation of acute coronary syndromes (ACS)
A 55-year-old woman presents to the emergency department with severe recurrent chest pain and shortness of breath associated with sweating. She reports being at a different hospital 3 days ago…
Potpourri of cases: using Sgarbossa criteria to diagnose acute occlusion myocardial infarction in LBBB and RV pacers, bizzare bradycardias, and so much more!
A 70-year-old male with PMHx of HTN, HFrEF, and atrial fibrillation presents to the ED with nausea and lightheadedness. He is noted to be bradycardic on arrival. The following ECG…
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:
STAT ECG Diagnoses: ventricular arrhythmias in patient with left ventricular assist devices (LVADs)
A 42-year-old male with PMHx of ischemic cardiomyopathy is brought in by ambulance reporting that his defibrillator has shocked him five times today. He is asymptomatic and texting on his…
ECG Basics and Fundamentals: PR segment or TP? the isoelectric baseline you should use to measure ST segment deviation
A 45-year-old woman presents to the ED with severe chest pain. She is minimally cooperative when trying to obtain a history and is requesting pain medication for severe pain. Physical…
STAT ECG Diagnoses: review of the causes of T wave inversions and detailed explanation of Wellens syndrome
A young African American male who appears to be in his mid-20s is brought into the ED for decreased level of consciousness. There is some concern by EMS for suspected…
STAT ECG Diagnoses: findings of occlusion MI in patients with right bundle branch block (RBBB)
A 51-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained with no priors available for comparison:
Differential Diagnoses: findings of occlusion MI in patients with right bundle branch block (RBBB), prolonged QT intervals, and so much more!
A 64-year-old man with history of pulmonary embolism (on apixaban) presents to the ED with shortness of breath and lower extremity edema. He also reports mild headache and is noted…
STAT ECG Diagnoses: what to do when the ST segment elevation in presumed STEMI resolves before patients get to the cath lab?
A 62-year-old woman is brought to the ED with severe chest pain radiating to the left shoulder. Pain is associated with shortness of breath, nausea, and diaphoresis. The following ECGs…
Differential Diagnoses: T wave inversions in a young woman with chest discomfort
A 25-year-old woman with PMHx of asthma is brought to the ED with shortness of breath and chest aching. Exam is notable for mild wheezing. The following ECG is obtained…
STAT ECG Diagnoses: can you have a STEMI without any ST segment elevation on the 12 lead ECG?
A 43-year-old woman is brought to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: using ectopy and premature ventricular contractions (PVCs) to diagnose occlusion MI
A 62-year-old woman is brought to the ED by EMS with severe chest pain, shortness of breath, nausea, and diaphoresis. The following EMS ECG was obtained:
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