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2023 ECG Competition Answers (Part 1/3)
Case # 1. A 55-year-old patient with multiple cardiac risk factors presents with chest pressure, vomiting and sweats (i.e., a good story for ACS). ST-segment elevation is noted on the…
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:
Rhythm Interpretation: Sutton’s rule for the best lead to evaluate atrial activity
A patient presents to the emergency department with palpitations and is found to have an irregular rhythm. The following ECG is obtained:
STAT ECG Diagnoses: are ECG abnormalities necessary for the diagnosis of acute pericarditis?
Two separate 50-year-old men present to the emergency department with chest pain. Pain in both patients is described as sharp, pleuritic, and positional. The following ECGs are obtained:
STAT ECG Diagnoses: high left ventricular voltages and ‘dagger like’ Q waves
A 20-year-old man presents with nonspecific chest pain. His history and physical exam are unremarkable. The following ECG is obtained:
Differential Diagnoses: the many causes of T wave inversions in the anteroseptal leads and how to differentiate them
A 37-year-old woman presents with sharp musculoskeletal chest pain associated with cough. She reports symptoms of an upper respiratory tract infection over the past 2 days. The following ECG is…
STAT ECG Diagnoses: must know ECG patterns in screening for acute coronary occlusion
A 58-year-old woman is brought into the emergency department by paramedics with chest pain and diaphoresis. The following EMS ECG was obtained:
Wide Complex Tachycardias: distinguishing malignant arrhythmias from their mimics
A 65-year-old woman with PMHx of Parkinson’s disease presents to the emergency department after an episode of syncope. She continues to feel unwell on arrival and appears diaphoretic, blood pressure…
STAT ECG Diagnoses: a safe approach to the evaluation of patients with diffuse ST segment elevation
A 24-year-old woman presents to the emergency department with acute chest pain and shortness of breath. Pain is described as progressively worsening substernal chest pressure. She has a history of…
Differential Diagnoses: killer causes of T wave inversions that you gotta know!
A 48-year-old man presents to the emergency department with chest pain and shortness of breath. The following ECG is obtained on arrival:
Several ECG cases from UMEM that highlight the importance of pattern recognition and a good history to differentiate between benign vs. life threatening ECG findings!
A 76-year-old woman is brought to the emergency department by EMS with for lightheadedness and syncope. The following ECG is obtained on arrival:
UMEM cases that highlight the right way to think about new right axis deviation and much more!
An 87-year-old man is brought to the emergency department by EMS with acute chest pain. The following ECG is obtained on arrival:
UMEM cases that will teach you how to differentiate narrow complex regular and irregular tachycardias, electrocardiographic polyuria (too many P waves) and so much more!
A 92-year-old man is brought to the emergency department by EMS with palpitations. The following ECG is obtained on arrival:
STAT ECG Diagnoses: early ECG signs of cardiac ischemia and acute coronary occlusion
A 72-year-old woman is brought to the emergency department by EMS with acute chest pain and shortness of breath. The following ECG is obtained on arrival:
Must know ECGs you will see on board exams and have to recognize in real life
A 34-year-old man is brought to the emergency department with delirium and agitation. The following ECG is obtained:
ECG cases to help you save lives and also crush your board exams
A 45-year-old woman is being observed in the emergency department after treatment with thrombolytics for MI. She is noted to be tachycardic one hour after treatment with a change in…
STAT ECG Diagnoses: how to identify acute coronary occlusion myocardial infarction in patients with right bundle branch blocks (RBBB)
A 61-year-old man presents to the emergency department with acute chest pain associated with diaphoresis and appears pale. While obtaining a history and performing a physical exam the patient has…
Rhythm interpretation: when to worry about cardiac rhythm strips
A 55-year-old woman with PMHx of CHF presents to an urgent care facility with shortness of breath, orthopnea, and weight gain after running out of her diuretics for the past…
STAT ECG Diagnoses: how to identify acute coronary occlusion MI in patients with LVH with strain pattern
A 60-year-old man presents to the emergency department with central chest pain for the last 2.5 hours concerning for cardiac ischemia. The following ECG is obtained on arrival:
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:
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