Bradyarrhythmias
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Recent University of Maryland Medical Center Cases (Part V)
A 67-year-old man presents with profound generalized weakness and inability to move his extremities or get out of bed. He has a history of hypertension, chronic kidney disease, substance use…
Recent University of Maryland Medical Center Cases (Part IV)
A 73-year-old man is brought to the emergency department with palpitations. The following ECG is obtained on arrival:
2025 ECG Competition Answers (Part 3/3)
This week we review the answers to questions 10-14 from the 13th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions yourself before watching the video…
2025 ECG Competition Answers (Part 2/3)
This week we review the answers to questions 6-9 from the 13th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions yourself before watching the video…
Recent University of Maryland Medical Center Cases (Part III)
A 59-year-old man presents to the emergency department with chest pain and palpitations. The following ECG is obtained on arrival:
Recent University of Maryland Medical Center Cases (Part II)
A 72-year-old woman presents to the emergency department with lightheadedness and near-syncope. The following ECG is obtained on arrival:
T Wave Clues: Uncovering Concealed Conduction Blocks and Arrhythmias
A 58-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained on arrival and interpreted as “sinus bradycardia”:
2024 EMS Cases Part IV
A 60-year-old man is being transported by EMS to the emergency department for acute chest pain. The following ECG is transmitted prior to arrival as a “CODE STEMI” and brought…
Distinction Between AV Dissociation and Complete Heart Block
A 54-year-old man presents to the emergency department with chest pain. The following ECG is obtained:
Key Points to Note About Complete Heart Block
A 70-year-old woman presents to the emergency department with lightheadedness and dizziness that is worse with standing. The following ECG is obtained:
Interesting Cases from UMMC (2024 – Part III/III)
A 63-year-old woman presents to the emergency department with dizziness and syncope. The following ECG is obtained:
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:
Paralysis Unmasked: Impressive ECGs That Saved the Day
A 45-year-old woman with PMHx of HTN, DM, ESRD (MWF hemodialysis) presents with complete paralysis below the neck. She reports being normal and fully functional before going to bed the…
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:
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