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ECG Basics and Fundamentals: right axis deviation differential and ST segment elevation in rightward leads
A 48-year-old woman presents to the ED with chest pain and near syncope. The following ECG is obtained:
ECG Basics and Fundamentals: A stepwise approach to ECG interpretation and how to use differential diagnoses to make critical clinical diagnoses
A 40-year-old man presents to the ED with altered mental status and appears critically ill. The following ECG is obtained:
Literature Review: COVID and the Heart
A 45-year-old man with a history of severe cardiomyopathy presents with palpitations. The following ECG is obtained:
Differential Diagnoses: narrow complex regular tachycardias
A 64-year-old man presents with palpitations. The following ECG is obtained:
ECG Basics & Fundamentals: interval abnormalities can cause clinical uncertainty
A 40-year-old man presents with concerning chest pain. The following ECG is obtained:
Differential Diagnoses: large T waves and prolonged QT intervals
A 40-year-old man presents with palpitations and malaise. Vital signs are within normal limits with a normal temperature. The following ECG is obtained:
STAT ECG Diagnoses: how to use ECG differentials to clinc the diagnosis in patients who are altered and can not provide a reliable history
A 50-year-old woman is found unconscious by a family member this morning. She was last known normal yesterday afternoon. On arrival to the ED she is minimally responsive and only…
STAT ECG Diagnoses: a patient transferred for suspected STEMI, what other etiologies could be causing this ST segment elevation?
A 24-year-old male with past medical history of paraplegia from severe multiple sclerosis is transferred from a nursing home for suspected STEMI. Transfer documentation reports a history of pleuritic chest…
STAT ECG Diagnoses: bradycardia, renal failure, AV nodal blockade, shock, and hyperkalemia
A 54-year-old female presents to the ED with generalized weakness and malaise. She has multiple medical problems and is taking several prescribed medications including aspirin, metoprolol, and warfarin. She recently…
Literature Review: indications for acute reperfusion therapy in patients with symptoms of an acute coronary syndrome
You are taking care of a patient who presents to the ED with chest pain and symptoms concerning for ACS.
Literature Review: modified Sgarbossa criteria in the diagnosis of acute coronary occlusion MI in LBBB
An elderly patient with a history of CAD and a known LBBB presents to the ED with acute onset of chest pain. The following ECG is obtained:
Literature Review: modified Sgarbossa criteria in the diagnosis of acute coronary occlusion MI in paced rhythms
A 81-year-old male with PMHx of HTN and CAD s/p pacemaker insertion, presents to the ED complaining of chest pain radiating down both arms x 1 hour. He reports improvement…
STAT ECG Diagnoses: the great immitator strikes again in a case of wide complex tachycardia
A 48-year-old female presents to the ED 2 days after Thanksgiving with complaints of severe generalized weakness, palpitations, and chest discomfort. She is noted to be tachycardic and tachypneic at…
ECG Basics & Fundamentals: normal and expected findings in right bundle branch block (RBBB) vs patients with occlusion MI
A 61-year-old male with PMHx of atrial fibrillation on anticoagulation presents to the ED with chest pain for 1 day after eating beef stew. He is concerned about having bad…
STAT ECG Diagnoses: abnormal T waves and T wave alternans
An elderly male presents with weakness and lightheadedness to his primary care physician. He is referred to the ED after the following ECG is obtained:
Rhythm Interpretation: never trust the computer interpretation and scrutinize every lead
An elderly male presents with weakness and lightheadedness to his primary care physician. He is referred to the ED after the following ECG is obtained:
Rhythm Interpretation: grouped or clumped beats
A 67-year-old male with PMHx of ESRD presents to the ED with fevers and bacteremia. The following ECG is obtained for mild tachycardia:
Rhythm Interpretation: how to avoid misdiagnosis of atrial fibrillation
An elderly male presents to the ED after a syncopal episode. He is found to be weak and lightheaded on arrival, with hypotension and mild tachycardia. There is no evidence…
STAT ECG Diagnoses: how identification of ECG signs of early ischemia can effect disposition decisions in the emergency department
An elderly male presents to the ED with 2 hours of chest pain concerning for cardiac ischemia. The following ECG is obtained:
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…
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