Latest
Rhythm Interpretation: the best lead to use to look for atrial activity, and a discussion on the most over diagnosed tachydysrrhythmia
A 58-year-old male with no significant past medical history presents to the ED with palpitations. The following ECG is obtained on arrival with no prior ECGs available for comparison:
STAT ECG Diagnoses: when to cardiovert narrrow complex irregular tachycardias
A 76-year-old woman presents to the ED with fever and signs of sepsis. She is found to be tachycardic, BP 80/45, RR 24, SpO2 94%, 38ºC. The following ECG is…
2021 ECG Competition Answers (Part 2/2)
Question #8: This 85-year old man presented with palpitations. What is the FULL ECG diagnosis? (2 pts) Case # 10 Answer Case #8 Answer 8. Atrial tachycardia with Mobitz…
2021 ECG Competition Answers (Part 1/2)
This week we review the answers to the first 6 questions from the 9th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions yourself before watching the…
ECG Basics and Fundamentals: limb lead reversal
A 82-year-old woman presents to the ED “not feeling well”. She reports malaise, mild dyspnea, but denies any pain. Vital signs are normal. The following ECG is obtained on arrival…
ECG Basics and Fundamentals: the isoelectric baseline used to evaluate 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…
Differential Diagnoses: T wave inversions and a discussion about Wellens syndrome
A 37-year-old male presents to the ED with a brief episode of sharp epigastric pain followed by ongoing nausea and diaphoresis. Exam is otherwise non-diagnostic. The following ECG is obtained…
STAT ECG Diagnoses: the value of expert ECG interpretation when dealing with patients with altered mental status
An unidentified male is brought into the ED unresponsive. He was reportedly found down with suspected trauma and required intubation at the scene. History is otherwise limited. The following ECG…
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: the right way to think about right axis deviation
A 91-year-old woman with PMHx of HTN, aortic stenosis, and dementia is brought to the ED by EMS after a syncopal episode when walking to the bathroom. Vital signs are…
Narrow Complex Tachycardia: the maximum achievable sinus heart rate
A 67-year-old woman is brought to the ED by EMS for palpitations. She is found to have a heart rate ~168. Vital signs are otherwise within normal limits aside from…
STAT ECG Diagnoses: a holosystolic murmur and a crochetage ECG pattern in a patient with palpitations
A 25-year-old male presents for evaluation of gradually worsening shortness of breath over the past year. He reports the symptoms as mild and associated with occasional palpitations but is otherwise…
Differential Diagnoses: the many causes of ST segment elevation
A 69-year-old woman presents to the ED with chest pain and shortness of breath. The following ECG is obtained:
STAT ECG Diagnoses: ECG findings that can help you clinch the diagnosis in patients with altered mental status
A 56-year-old woman is brought into the ED by EMS and is minimally responsive. History is limited. The following ECG is obtained:
STAT ECG Diagnoses: is this ST segment elevation due to early repolarization or a large STEMI?
A 38-year-old male presents to the ED with acute chest pain. The following ECG is obtained:
Wide Complex Tachycardias: What is the Lewis lead and how you can use modified ECG leads to help make the diagnosis
A 60-year-old male presents to the ED with acute chest pain and lower extremity edema. He is noted to be tachycardic on arrival. The following ECG is obtained:
Literature Review: mechanisms of acute coronary syndromes (ACS) and the problems with stress testing and coronary angiography
A 36-year-old male with history of tobacco use presents to the ED with acute chest pain. He was recently admitted to the hospital for chest pain and had a negative…
STAT ECG Diagnoses: getting rhythm strips right and knowing when acute intervention is needed
A 66-year-old man is transferred to the ED from an urgent care where he presented for shortness of breath and was diagnosed with heart failure. He was recently discharged s/p…
ECG Basics and Fundamentals: the basics of left bundle branch block (LBBB) and how to diagnose acute coronary occlusion myocardial infarction in these patients
A 65-year-old man presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: the definition of electrical storm and what you need to know about it
A 58-year-old man with PMHx of cardiomyopathy (EF ~30%) presents to the ED with intermittent episodes of palpitations and near syncope. The following ECG was obtained during an episode:
Free Content
Jump on our email list for free tips and insights delivered to your inbox monthly. No spam - just quick pearls and ECG education.
Categories
- No categories
© 2025 ECG Weekly. All rights reserved. | Terms of Use | Privacy Policy
Powered by the member(dev) platform
Loading...