Bradyarrhythmias

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Sloof Lirpa Sign

A 65-year-old woman presents to the emergency department with an episode of near-syncope. Her ECG shown below is interpreted by the ECG machine, an emergency physician, and a cardiologist as…

2024 EMS Cases Part III

A 75-year-old man with PMHx of hypertension on metoprolol is being brought in for 3 days of nausea, vomiting, and weakness. He reportedly appears dehydrated and is found to be…

2024 EMS Cases Part II

A 56-year-old woman is being brought in by EMS for palpitations. The following EMS ECG is obtained and transmitted:

New Year’s Resolution: a patient who is trying to get healthier presents to the ED with this unstable bradycardia

A 50-year-old man decides to get “his life in order” for the new year. He quits smoking, decides to eat healthier, exercise more, and to be more compliant with his…

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:

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:

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:

Bradyarrhythmias: the nuances of complete heart blocks

A 50-year-old man presents to the emergency department with generalized weakness and lightheadedness. He is noted to be bradycardic, and the following ECG is obtained:

Bradyarrhythmias: the types of acute myocardial infarction associated with heart block

A 48-year-old woman presents to the emergency department with a 2-day history of intermittent neck pain associated with nausea. Her pain progressively worsened and is now persistent. The following ECG…

Bradyarrhythmias: rash, a history of tick bite, and slow regular rhythms

A 61-year-old man presents to the emergency department with generalized weakness and dyspnea. He reports a recent tick bite and associated circular rash with target-like appearance to the arm. He…

Rhythm Interpretation: electrocardiographic polyuria (too much P…waves) and how to successfully break down complicated rhythms

A 54-year-old man presents to the emergency department reporting that his heart feels like it is skipping beats. He is noted to be bradycardic on arrival. The following ECG is…

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: 

Bradyarrhythmias: what to consider when an unstable bradycardia is not reponding to standard ACLS treatments

A 60-year-old woman presents to the ED with dyspnea on exertion and malaise. She is hypotensive and bradycardic. The following ECG is obtained:

AV Block Bootcamp (Episode 3/3): the answer lies in the PR segment!

HPI: A 72-year-old female presents to the ED with chest pain and lightheadedness. The following ECG is obtained:

AV Block Bootcamp (Episode 2/3): what is the atrium doing, what is the ventricle doing, and what is their relationship?

A 72-year-old female presents to the ED with dyspnea. The following ECG is obtained:

AV Block Bootcamp (Episode 1/3): differential diagnoses for non-conducted P waves, what you need to know to clinch the diagnosis!

A 78-year-old female presents to the ED with lightheadedness and bradycardia. The following ECG is obtained:

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…

STAT ECG Diagnoses: chronic atrial fibrillation with bradycardia and hypotension

A 87-year-old man with history of HTN, CKD, CHF (EF 45%), and chronic atrial fibrillation presents with 1-week history of generalized weakness, loss of appetite and intermittent dizziness. He denies…

ECG Basics & Fundamentals: the ECG findings of hypothermia

An 80-year-old male with a history of HTN, atrial fibrillation and an unknown “kidney problem” presents to the ED after being found unresponsive at home by his son. He was…

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