ECG STAT Diagnoses

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 findings in hypothermia

A 77-year-old male is brought into the ED after being found unconscious in his home. The following prehospital ECG was obtained and compared to an old normal ECG:

STAT ECG Diagnoses: how would this prehospital rhythm strip change your management?

A 10-year-old male is transported to your ED for recurrent seizures. The following prehospital rhythm strip was obtained:

What is the cause of these slurred and downsloping ST segments?

A 56-year-old man with PMHx of atrial fibrillation presents to the ED with generalized weakness and near-syncope. He is found to be hypotensive and bradycardic. The following ECG is obtained:

STAT ECG Diagnoses: a peculiar pattern of ST segment elevation that is high risk for death!

A 64-year-old man with HTN and DM presents to the ED with chest pain that radiates to the right lower neck x 1 week. He also reports difficulty walking and…

Narrow Complex Tachycardia: inappropriate anticoagulation because of misdiagnosis

A 96-year-old man presents to the ED with a dry skin rash. On review of symptoms the patient reports 1-2 episodes of fleeting chest pain that is sharp. The following…

ECG Basics & Fundamentals: can torsades cause seizures?

A 55-year-old man presents to the ED after a witnessed seizure and is somnolent on arrival. He wakes up enough to mumble answers to a few questions but then becomes…

Literature Review: which patients should go to the cath lab for reperfusion emergently? (Part 3/3)

HPI: A 60-year-old male with a history of CAD with a pacemaker presents to the ED with acute chest pain that radiates to the left arm. Pain is worse with…

STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss

A 62-year-old male is being transported by EMS to the ED for acute onset chest pressure. He is noted to be hypotensive with a systolic blood pressure in the 50’s….

STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss

A 52-year-old African American male with no known past medical history is brought to the ED after resuscitated V. Fib arrest. A post arrest ECG after resuscitation is obtained:

STAT ECG Diagnoses: abnormal T waves that suggest badness and their mimics

A 20-year-old man presents to the ED with chest pain. He has no past medical history, normal vital signs, and a normal exam. The following ECG is obtained:

STAT ECG Diagnoses: activate the cath lab or get an urgent cardiology consult?

A 65-year-old woman is brought in by EMS with chest heaviness and mid-scapular pain for the past two hours. She received Aspirin and Nitroglycerin en route and arrives asymptomatic. The…

Wide Complex Tachycardias: what is the difference between polymorphic ventricular tachycardia and torsades des pointes

A 13-month-old female is transferred to you for intermittent torsades/dysrhythmias from a community ED. She has been slightly lethargic and has a cardiac history of VSD, ASD, and a PDA…

Bradyarrhythmias: bizarre slow rhythm that is not responding to ACLS

Wide Complex Tachycardias: what to think of when they are REALLY wide!

STAT ECG Diagnoses: dysrhythmias in patients with STEMI

STAT ECG Diagnoses: ruling out rapidly fatal diagnoses first, before diagnosing non life threatening conditions

STAT ECG Diagnoses: MI in paced rhythms

HPI: An 80-year-old woman presents to the ED with chest pain. The following ECG is obtained. Case ECG

ECG Basics & Fundamentals: the value of ECGs in patients with diabetic ketoacidosis (DKA)

STAT ECG Diagnoses: MI in LBBB