ECG STAT Diagnoses
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Differential Diagnoses: what you gotta know about regular wide complex tachycardias
A 72-year-old woman is brought into the emergency department by family for confusion. She has a history of abdominal hernia repair with subsequent complications, including an exploratory laparotomy for an…
Bradydysrhythmia: An irregular rhythm with grouped or clumped beats
A 75-year-old woman presents to the emergency department with palpitations and near syncope. She is noted to be bradycardic with an irregular rhythm. The following ECG is obtained on arrival:
Narrow Complex Tachycardia: sinus tachycardia, atrial flutter, or SVT?
A 52-year-old man presents to the emergency department with palpitations and is found to be tachycardic. The following ECG is obtained on arrival:
Bradydysrhythmia: when is it actually considered a complete heart block?
A 52-year-old man presents to the emergency department with chest pain associated with nausea and diaphoresis. The following ECG is obtained on arrival:
STAT ECG Diagnoses: causes of right axis deviation, and evaluation of ST segments in patient with right bundle branch block (RBBB)
An 80-year-old man presents to an emergency department in Chile with chest pain radiating to the right shoulder and back. The following ECG is obtained on arrival and computer interpreted…
STAT ECG Diagnoses: isorhythmic AV dissociation and complete heart block
A 43-year-old man with a history of demand pacemaker placement gets the following routine ECG during outpatient follow up with his primary care provider:
Bradyarrhythmias: the nuances of complete heart blocks
A 50-year-old man presents to the emergency department with generalized weakness and lightheadedness. He is noted to be bradycardic, and the following ECG is obtained:
Bradyarrhythmias: the types of acute myocardial infarction associated with heart block
A 48-year-old woman presents to the emergency department with a 2-day history of intermittent neck pain associated with nausea. Her pain progressively worsened and is now persistent. The following ECG…
Bradyarrhythmias: rash, a history of tick bite, and slow regular rhythms
A 61-year-old man presents to the emergency department with generalized weakness and dyspnea. He reports a recent tick bite and associated circular rash with target-like appearance to the arm. He…
Wide Complex Tachycardias: what you gotta know about the two major types of polymorphic ventricular tachycardia
A 66-year-old female with a history of substance abuse on methadone is brought to the ED for syncope and altered mental status. She is altered and agitated on arrival and…
EMS ECGs: regular and irregular narrow complex tachycardias, junctional rhythms, the ECG in LVAD patients, and more!
A 62-year-old man is found unresponsive at home. The following EMS ECG is obtained:
Rhythm Interpretation: electrocardiographic polyuria (too much P…waves) and how to successfully break down complicated rhythms
A 54-year-old man presents to the emergency department reporting that his heart feels like it is skipping beats. He is noted to be bradycardic on arrival. The following ECG is…
Differential Diagnoses: narrow complex irregular tachycardia, short QTc intervals, ST segment elevation in aVR, and so much more!
An 89-year-old woman is brought into the emergency department with generalized weakness and dizziness. She is noted to be bradycardic at triage. The following ECG is obtained with no prior…
ECG Basics and Fundamentals: subtle early signs of acute cardiac ischemia
A 57-year-old man presents to the emergency department with chest pain concerning for MI. The following ECG is obtained with no prior ECGs available for comparison. Cardiology is contacted and…
Potpourri of cases: diffuse subendocardial myocardial ischemia with ST segment elevation in aVR and diffuse ST segment depressions, the ECG findings in severe hyperkalemia, Wellens syndrome, and more!
A 39-year-old male with PMHx of HTN presents to the ED with severe chest pain and abdominal pain. The following ECG is obtained:
STAT ECG Diagnoses: ventricular arrhythmias in patient with left ventricular assist devices (LVADs)
A 42-year-old male with PMHx of ischemic cardiomyopathy is brought in by ambulance reporting that his defibrillator has shocked him five times today. He is asymptomatic and texting on his…
STAT ECG Diagnoses: review of the causes of T wave inversions and detailed explanation of Wellens syndrome
A young African American male who appears to be in his mid-20s is brought into the ED for decreased level of consciousness. There is some concern by EMS for suspected…
STAT ECG Diagnoses: findings of occlusion MI in patients with right bundle branch block (RBBB)
A 51-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained with no priors available for comparison:
Differential Diagnoses: findings of occlusion MI in patients with right bundle branch block (RBBB), prolonged QT intervals, and so much more!
A 64-year-old man with history of pulmonary embolism (on apixaban) presents to the ED with shortness of breath and lower extremity edema. He also reports mild headache and is noted…
STAT ECG Diagnoses: what to do when the ST segment elevation in presumed STEMI resolves before patients get to the cath lab?
A 62-year-old woman is brought to the ED with severe chest pain radiating to the left shoulder. Pain is associated with shortness of breath, nausea, and diaphoresis. The following ECGs…
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