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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:
ECG Basics & Fundamentals: reliability of computer interpreted “Normal ECG” by the ECG machine
A 64-year-old man with PMHx of HTN and HLD presents to a busy ED with chest pain, shortness of breath, and nausea. There is no immediate bed availability in the…
Literature Review: troponin testing in patients with supraventricular tachycardias (SVT)
A 45-year-old male with PMHx of HTN and obesity presents to the ED with palpitations and anxiety. Symptoms started abruptly 4 hours ago. The following ECG was obtained:
STAT ECG Diagnoses: using the ECG in cases of wide complex tachycardia to diagnose ventricular tachycardia (VT)
A 25-year-old otherwise healthy woman with no significant PMHx presents to the ED with palpitations. The following ECG was obtained:
Rhythm Interpretation: atrial tachyarrhythmia review part 2/2
EMS transmits the following ECG from a 78-year-old male who is having palpitations and chest discomfort:
Rhythm Interpretation: atrial tachyarrhythmia review part 1/2
A 40-year-old woman is brought into the ED with palpitations and chest discomfort. She is noted to be tachycardic on arrival. Treatment is started with IV fluids for sinus tachycardia….
Differential Diagnoses: ST segment elevation and short QTc interval
A 40-year-old male is brought into the ED with vomiting, body aches, chest discomfort and fatigue. The following ECG is obtained:
STAT ECG Diagnoses: ventricular fibrillation after synchronized cardioversion for a regular wide complex tachycardia
A 50-year-old male is brought into the ED with palpitations and is found to have a regular wide complex tachycardia. He is treated with synchronized electrical cardioversion and immediately goes…
STAT ECG Diagnoses: ventricular conduction in atrial flutter
A 92-year-old man is brought into the ED with near syncope and lightheadedness. He mentions he has been non-compliant with his medications, but history is otherwise limited. He is found…
Rhythm Interpretation: differential diagnoses for electrocardiographic polyuria in unstable bradycardias
An 88-year-old man is brought into the ED with lightheadedness and palpitations. The following ECG is obtained:
Bradyarrhythmias: differentiation of Mobitz and other atrioventricular (AV) blocks
An 83-year-old woman is brought into the ED with lightheadedness and is noted to be bradycardic. The following ECG is obtained:
STAT ECG Diagnoses: identification of acute coronary occlusion myocardial infarction in patients with bundle branch blocks
A 70-year-old woman is brought into the ED by EMS with shortness of breath, weakness, and hypotension. The following prehospital ECG is obtained:
EMS ECGs: hypothermia emergencies, accelerated idioventricular rhythm (AIVR), and so much more!
A 63-year-old male presents to the ED with chest ache, near syncope, and exertional lightheadedness. The following ECG is obtained:
STAT ECG Diagnoses: ventricular tachycardia mimics in patients with ST segment elevation
A 30-year-old woman calls 911 for chest discomfort, shortness of breath, and a rapid heart rate. On arrival, medics find her tachycardic and tachypneic with a normal blood pressure. The…
ECG Basics and Fundamentals: a condition that is commonly misdiagnosed at polymorphic ventricular tachycardia (PMVT), torsades de pointes, and ventricular fibrillation
A 55-year-old woman presents to the ED with mild to moderate COVID pneumonia. She reportedly had a syncopal episode while on a bed pan. The following rhythm strip was obtained…
STAT ECG Diagnoses: what to look for on the ECG after synchronized cardioversion
A 44-year-old male presents to the ED with palpitations and shortness of breath. He is found to have a narrow complex regular tachycardia at 230 bpm. The rhythm is most…
Literature Review: treating dysrrhythmias in pregnant patients
A 25-year-old woman G2P1 with no known PMHx is in full term labor when she experiences palpitations and is noted to be tachycardic. The following ECG is obtained:
STAT ECG Diagnoses: antiarrhythmic considerations in patients with unstable irregular tachydysrrhythmias
A 29-year-old male with no significant known PMHx presents to the ED with palpitations. He is found to be markedly tachycardic on arrival. The following ECG is obtained:
Literature Review: diagnosis of acute coronary occlusion myocardial infarction in patients with ventricular paced rhythms
A 65-year-old woman presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
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