Computer Interpreted ECGs

Small ECG Changes, Big Clinical Wins: How Repeat ECGs Save Lives

A 64-year-old man with PMHx of hypertension and obesity presents to the emergency department with 2 days of worsening chest pain. Pain is central, intermittent, worsens with exertion, and has…

Recent University of Maryland Medical Center Cases (Part I)

A 67-year-old man presents to the emergency department with chest pain and palpitations. The following ECG is obtained on arrival:

Aslanger’s Pattern and the Limits of Traditional STEMI Criteria

A 76-year-old man presents to the emergency department with shortness of breath, severe weakness, diaphoresis, and confusion. The following ECG is obtained on arrival:

2025 EMS Cases Part II

A 57-year-old man is being brought in by EMS for generalized weakness and vomiting. The following ECG is obtained and transmitted as a CODE STEMI alert:

Respect the T Wave: Early Clues to Cardiac Ischemia

A 54-year-old man presents to the emergency department with chest pain concerning for an acute coronary syndrome. An initial ECG is performed on arrival and appears normal, the following repeat…

2024 UMMC Cases (Part I)

A 69-year-old man arrives at the emergency department with shortness of breath and profuse sweating. The ECG obtained below shows sinus tachycardia at a rate of ~ 130 bpm with…

Case Potpourri: Avoiding AFib Misdiagnosis, Recognizing Mobitz, and Managing Polymorphic V-Tach

A 50-year-old man is brought to the emergency department after successful resuscitation from a witnessed cardiac arrest. EMS was initially called to the scene for chest pain. While on scene,…

AI Advances in ECG Interpretation: Why Human Expertise Still Matters

Timeless ECG Lessons: Revisiting Classic Cases and Life Saving Interpretations

A 37-year-old man with no significant past medical history presents to the emergency department with acute chest pain and shortness of breath after a meal. He suspects he is having…

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…

Literature Review: limitations of computer interpreted electrocardiograms

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…

EMS ECGs: don’t trust the ECG computer interpretation…it will fool you!