Early Signs of Ischemia

STAT ECG Diagnoses: how identification of ECG signs of early ischemia can effect disposition decisions in the emergency department

An elderly male presents to the ED with 2 hours of chest pain concerning for cardiac ischemia. The following ECG is obtained:

Differential Diagnoses: poor R wave progression and attention to T wave abnormalities

A 55-year-old woman presents with substernal chest pressure radiating to the left upper extremity, dyspnea, and nausea. She has a past medical history of HTN, DM, HLD, and is a…

STAT ECG Diagnoses: early reciprocal changes in patients with clinical concern for ACS

A 87-year-old man reports having 2 days of central chest pain. He starts feeling worse on day 3 and calls an ambulance. Paramedics respond and are highly concerned for ACS…

EMS ECGs: respect lead aVL and looks for subtle early signs of cardiac ischemia

A 30-year-old woman is brought in by EMS to the ED with chest pain. The following prehospital ECG is obtained:

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: 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: early signs of cardiac ischemia, poor R wave progression, and more!