ECG STAT Diagnoses

Intermittent runs of nonsustained ventricular tachycardia

A 48-year-old man presents to the ED with 3-4 days of palpitations. The patient has a stable blood pressure but is found to have new onset atrial fibrillation with RVR….

The Bix rule in narrow complex tachycardia

A 63-year-old man is brought in by EMS to the ED with palpitations. The following prehospital ECG is obtained:

Wide Complex Tachycardias: the three major types of ventricular tachycardia

A 60-year-old man presents to the ED chest pain concerning for ACS, and a prehospital ECG concerning for inferior STEMI. The following ECG is obtained on arrival to the ED:

STAT ECG Diagnoses: ECG findings that preceed ST segment elevation in acute coronary syndromes

A 70-year-old man presents to the ED with right sided chest pain that radiates to the left. His pain started while running to catch the subway, and is associated with…

Literature Review: classic STEMI criteria, and the cardiovascular effects of Marijuana

A 32-year-old man presents to the ED with chest tightness, nausea and dyspnea. He has no past medical history or cardiac risk factors, but reports smoking marijuana regularly. The following…

Post-cardiac arrest ECGs: which arrest survivors should get emergent reperfusion therapy?

A 65-year-old man presents to the ED with substernal chest pain that radiated to the back and is associated with nausea. An ECG is obtained on arrival and is interpreted…

Differential Diagnoses: causes of low voltage QRS complexes aside from pericardial effusion

HPI:  A 48-year-old man presents to the ED with malaise of subacute onset. He is mildly tachypneic with clear breath sounds bilaterally. The following ECG is obtained: Case ECG Before…

How to avoid misdiagnosing the most overcalled tachyarrhythmia by physicians and EGC machines

HPI:  A 64-year-old man presents to the ED with nausea and vomiting. He is tachycardic on arrival and the following ECG is obtained: Case ECG Before watching this week’s video,…

Differential Diagnoses: when STEMIs can present with right axis deviation

HPI:  A 57-year-old with PMHx of HTN and cigarette smoking presents to the ED with chest pain and dyspnea. The following ECG is obtained: Case ECG Before watching this week’s…

Differential Diagnoses: three main causes of narrow complex irregular tachycardias

HPI:  A 65-year-old male is brought to the ED with altered mental status. He seems confused and is found to be tachycardic and hypotensive (SBP=75). The following ECG is obtained…

Differential Diagnoses: diffuse ST segment elevation with a focus on left ventricular (LV) aneurysm

HPI:  An elderly gentleman presents to the ED with diarrhea. He has no chest pain or dyspnea, and denies nausea or vomiting. He appears well. The following ECG was obtained…

STAT ECG Diagnoses: “Shark fin STEMI” morphology and what this ECG pattern means!

HPI:  A 59-year-old male presents to the ED with exertional chest pain that resolved on arrival. An ECG (#1) is obtained at triage. While being interviewed by the physician who…

STAT ECG Diagnoses: Wellens syndrome and pseudo-Wellens waves

HPI: A 33-year-old male with PMHx of HTN is brought in by EMS for intermittent chest pain for the past few days. The patient is now chest pain free and…

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: serial ECGs in a patient with chest pain and a paced rhythm

HPI: A 63-year-old male calls EMS after a syncopal episode. He is found to be alert, but complaining of chest pain that radiates bilaterally and that is associated with diaphoresis….

ECG Basics and Fundamentals: ECG findings in hypothermia

HPI: An elderly woman is found down by EMS early in the morning in Baltimore. Her family reports that was drinking some eggnog the night before at a holiday party….

Literature Review: can the ECG risk stratify for short-term adverse events in severe hyperkalemia?

Differential Diagnoses: hyperkalemia as a cause of ST segment elevation mimicking STEMI

STAT ECG Diagnoses: epsilon waves in patient with syncope

A teenage girl presents to the ED after brief syncope during sports activity. The following ECG is obtained:

Literature Review: outcomes for patients with STEMI presenting with nondiagnostic initial ECGs

A 45-year-old man presents to the ED with 1 hour of chest pain, shortness of breath, and diaphoresis. The following ECG is obtained: