Chest Pain
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ECG Basics & Fundamentals: how frequently should you obtain serial ECGs in patients with concern for ACS
HPI: A 65-year-old patient is brought in by EMS for a chest pain history that is concerning for ACS. The following ECG is obtained: Case ECG Before watching this week’s…
ECG Basics & Fundamentals: when a T wave inversion in lead aVL matters
A 45-year-old woman presents to the ED with severe heartburn. Her pain is associated with dyspnea and diaphoresis. The following ECG is obtained:
ECG Basics & Fundamentals: diagnostic criteria for acute pericarditis
A 38-year-old man presents with mid-sternal, sharp chest pain. The pain is non-radiating, worse when supine, and is not associated with any diaphoresis or vomiting. The following ECG is done:
ECG Basics & Fundamentals: dynamic ischemic ECG changes in ACS
A 41-year-old male with no past medical history is brought into the ED with bilateral shoulder pain that has been intermittent throughout the day. On arrival the pain is mild,…
ECG Basics & Fundamentals: using a systematic approach to identify the cause of ST segment elevation
A 49-year-old man presents to the ED with nausea, lightheadedness, arthralgias and malaise. He appears dehydrated but has an otherwise normal exam. The following ECG is obtained:
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