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Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 2/3)
A 60-year-old woman presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
Literature Review: 2018 STEMI & STEMI equivalent guideline updates (Part 1/3)
A 50-year-old man presents to the ED with midsternal chest pain concerning for an acute coronary syndrome. The following ECG is obtained:
ECG Basics and Fundamentals: how many STEMI patients present with nondiagnostic initial ECGs?
HPI: A 52-year-old male with PMHx of HTN & HLD presents to the ED with chest pain and shortness of breath. He looks uncomfortable on exam and is hypertensive. The…
Differential Diagnosis: STEMI vs. acute pericarditis
A 45-year-old male presents to the emergency department with sharp, positional, and pleuritic chest pain while doing CrossFit. He is not a smoker and has no known cardiac risk factors….
Something, that can do anything it wants to the ECG!
A 58-year-old male presents to the emergency department with shortness of breath, vomiting, palpitations, and mild chest discomfort. The following ECG was obtained on arrival:
Wide Complex Tachycardias: when suspected ventricular tachycardia is too wide and too slow
A 56-year-old man with PMHx of HTN, DM, PVD, and ESRD on dialysis presents to the ED with dyspnea. The following ECG was obtained on arrival:
STAT ECG Diagnoses: what to do when advanced life support (ACLS) does not work
A 40-year-old man is brought to the ED moribund with agonal respirations, hypotension (SBP~50) and bradycardia. The following ECG was obtained and ACLS started with no response to atropine or…
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…
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