Computer Interpreted ECGs


Subtle ECG Changes and Diagnostic Challenges

A 70-year-old male presents to the emergency department with acute chest pain that sounds ischemic in nature. The following baseline ECG, arrival ECG, and repeat ECGs are obtained:

How to avoid misdiagnosis of irregular rhythms

A 80-year-old woman is referred to the emergency department for suspected rapid atrial fibrillation. The following ECG is obtained on arrival: 

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…

ECG Basics and Fundamentals: the value of ignoring the ECG computer interpretation and looking closely at all 12 leads

A 48-year-old female presents to the ED with palpitations and near-syncope. She reports multiple episodes of palpitations in the past that have not been evaluated. The following ECG is obtained:

STAT ECG Diagnoses: why you should never trust the computer ECG interpretation, even when it reads “normal ECG”!

A 71-year-old male is being transported to the ED for acute chest pain. The following prehospital EMS ECG is transmitted:

Rhythm Interpretation: never trust the computer interpretation and scrutinize every lead

An elderly male presents with weakness and lightheadedness to his primary care physician. He is referred to the ED after the following ECG is obtained:

Differential Diagnoses: interval abnormalities and the importance of not trusting the computer ECG interpretation

A 61-year-old woman presents from a nursing home for G-tube replacement. She reports lightheadedness and appears dehydrated. The following ECG is obtained:

Literature Review: safety of computer interpretation of normal triage electrocardiograms

A 64-year-old male with PMHx of hypertension and hyperlipidemia presents to the ED with chest pain associated with vomiting and shortness of breath. The patient looks sick. The following ECG is…

ECG Basics & Fundamentals: reliability of computer interpreted ECGs, can the ECG machine be trusted to get it right?

A 59-year-old man with PMHx of severe hypertension presents to the ED with sharp and positional chest wall pain after a mechanical fall. He denies exertional worsening of pain, or…

Literature Review: ECG computer interpretations and review of STEMI criteria

HPI: A 45-year-old male is en route to your hospital by EMS with chest pain. EMS has transmitted this ECG to you from the field, with suspicion of STEMI. Case ECG…

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