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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:
STAT ECG Diagnoses: differential diagnoses for low voltage QRS complexes and ventricular arrhythmias in patients with left ventricular assist devices (LVADs)
An 82-year-old man is brought to the emergency department with confusion and decreased level of consciousness. He is noted to be hypotensive, bradycardic, hypothermic, and hypoglycemic. The following ECG is…
STAT ECG Diagnoses: how to approach and tackle tough dysrhythmias
A 91-year-old woman presents to the emergency department reporting that she is just not feeling well. She is noted to have an irregular rhythm. The following ECG is obtained and…
Literature Review: STEMI vs. acute pericarditis
A 44-year-old man with no significant past medical history presents to the emergency department with chest pain. The following ECG is obtained:
ECG Basics and Fundamentals: causes of pauses or clumped/grouped beats on the ECG
A 72-year-old man with PMHx of HTN presents to the emergency department with vomiting and lightheadedness. He is noted to be slightly bradycardic with an irregular rhythm on arrival. The…
Bradydysrhythmia: Does this patient need a permanent pacemaker?
A 63-year-old man presents to the emergency department with lightheadedness. He is noted to be bradycardic on arrival. The following ECG is obtained:
ECG Basics & Fundamentals: the value of clinical decisions instruments and what to do when evaluating patients with a concerning chest pain story
A 68-year-old man with PMHx of HTN and cigarette smoking presents to the ED with severe central chest pain and mild shortness of breath for 1 hour. Pain is constant…
The value of obtaining a thorough history of presenting illness in patients with chest pain
A 28-year-old man with no known past medical history presents to the emergency department with central chest pain after being elbowed in the chest while playing football. Pain radiates to…
Potpourri of cases: generic polymorphic ventricular tachycardia vs. torsades de pointes, regularized atrial fibrillation, and much more!
A 60-year-old man presents to the emergency department with generalized weakness and intermittent palpitations. Vital signs are normal on arrival. The following ECG is obtained during an episode of palpitations:
Potpourri of cases: differential diagnoses for long QTc intervals, diagnosing occlusion MI in LBBB and paced rhythms, and so much more!
A 48-year-old woman is brought into the emergency department with fever and altered mental status. The following ECG is obtained on arrival:
Literature Review: 2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department Highlights
A 60-year-old man is brought into the emergency department by EMS for acute onset chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained on…
Post-cardiac arrest ECGs: the value of the post return of spontaneous circulation (ROSC) ECG and when it should be repeated
A 74-year-old man is brought into the emergency department by EMS for witnessed cardiac arrest. Initial rhythm was ventricular fibrillation s/p defibrillation with subsequent PEA. He received standard prehospital ACLS…
ECG Basics and Fundamentals: the earliest evidence of cardiac ischemia on the ECG and when to obtain serial ECGs
A 68-year-old man is brought into the emergency department for acute chest pain radiating to the back. He appears very uncomfortable and is hypertensive on arrival. A CT angiogram is…
Differential Diagnoses: what you gotta know about regular wide complex tachycardias
A 72-year-old woman is brought into the emergency department by family for confusion. She has a history of abdominal hernia repair with subsequent complications, including an exploratory laparotomy for an…
Bradydysrhythmia: An irregular rhythm with grouped or clumped beats
A 75-year-old woman presents to the emergency department with palpitations and near syncope. She is noted to be bradycardic with an irregular rhythm. The following ECG is obtained on arrival:
Narrow Complex Tachycardia: sinus tachycardia, atrial flutter, or SVT?
A 52-year-old man presents to the emergency department with palpitations and is found to be tachycardic. The following ECG is obtained on arrival:
Bradydysrhythmia: when is it actually considered a complete heart block?
A 52-year-old man presents to the emergency department with chest pain associated with nausea and diaphoresis. The following ECG is obtained on arrival:
STAT ECG Diagnoses: causes of right axis deviation, and evaluation of ST segments in patient with right bundle branch block (RBBB)
An 80-year-old man presents to an emergency department in Chile with chest pain radiating to the right shoulder and back. The following ECG is obtained on arrival and computer interpreted…
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