ECG STAT Diagnoses
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STAT ECG Diagnoses: can you have a STEMI without any ST segment elevation on the 12 lead ECG?
A 43-year-old woman is brought to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: using ectopy and premature ventricular contractions (PVCs) to diagnose occlusion MI
A 62-year-old woman is brought to the ED by EMS with severe chest pain, shortness of breath, nausea, and diaphoresis. The following EMS ECG was obtained:
STAT ECG Diagnoses: using the ECG in cases of wide complex tachycardia to diagnose ventricular tachycardia (VT)
A 25-year-old otherwise healthy woman with no significant PMHx presents to the ED with palpitations. The following ECG was obtained:
STAT ECG Diagnoses: ventricular fibrillation after synchronized cardioversion for a regular wide complex tachycardia
A 50-year-old male is brought into the ED with palpitations and is found to have a regular wide complex tachycardia. He is treated with synchronized electrical cardioversion and immediately goes…
STAT ECG Diagnoses: ventricular conduction in atrial flutter
A 92-year-old man is brought into the ED with near syncope and lightheadedness. He mentions he has been non-compliant with his medications, but history is otherwise limited. He is found…
Rhythm Interpretation: differential diagnoses for electrocardiographic polyuria in unstable bradycardias
An 88-year-old man is brought into the ED with lightheadedness and palpitations. The following ECG is obtained:
Bradyarrhythmias: differentiation of Mobitz and other atrioventricular (AV) blocks
An 83-year-old woman is brought into the ED with lightheadedness and is noted to be bradycardic. The following ECG is obtained:
STAT ECG Diagnoses: identification of acute coronary occlusion myocardial infarction in patients with bundle branch blocks
A 70-year-old woman is brought into the ED by EMS with shortness of breath, weakness, and hypotension. The following prehospital ECG is obtained:
EMS ECGs: hypothermia emergencies, accelerated idioventricular rhythm (AIVR), and so much more!
A 63-year-old male presents to the ED with chest ache, near syncope, and exertional lightheadedness. The following ECG is obtained:
STAT ECG Diagnoses: ventricular tachycardia mimics in patients with ST segment elevation
A 30-year-old woman calls 911 for chest discomfort, shortness of breath, and a rapid heart rate. On arrival, medics find her tachycardic and tachypneic with a normal blood pressure. The…
STAT ECG Diagnoses: what to look for on the ECG after synchronized cardioversion
A 44-year-old male presents to the ED with palpitations and shortness of breath. He is found to have a narrow complex regular tachycardia at 230 bpm. The rhythm is most…
STAT ECG Diagnoses: antiarrhythmic considerations in patients with unstable irregular tachydysrrhythmias
A 29-year-old male with no significant known PMHx presents to the ED with palpitations. He is found to be markedly tachycardic on arrival. The following ECG is obtained:
Literature Review: diagnosis of acute coronary occlusion myocardial infarction in patients with ventricular paced rhythms
A 65-year-old woman presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: the basics of left bundle branch blocks (LBBB) and how to identify occlusion MI in these patients
A 65-year-old man presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: any ST segment elevation in patients with right bundle branch blocks (RBBB) is abnormal!
HPI: A 70-year-old male with PMHx of HTN, DM, CKD, and CAD is brought to the emergency department with chest pain and shortness of breath. The following ECG is obtained…
STAT ECG Diagnoses: considerations with the heart rate is way too fast in patients with tachyarrhythmias
A 29-year-old male with no significant known PMHx presents to the ED with palpitations. He is found to be markedly tachycardic on arrival. The following ECG is obtained:
STAT ECG Diagnoses: what exactly is Ashman phenomenon and why does it matter?
A 50-year-old male with PMHx of atrial fibrillation presents to the ED with palpitations. He is found to be tachycardic, and while being treated for suspected atrial fibrillation with RVR,…
Differential Diagnoses: what to consider in patients with regular wide complex tachycardias (RWCT)
A 45-year-old male presents to the ED with palpitations and is found to be markedly tachycardic. The following ECG is obtained:
STAT ECG Diagnoses: the ECG in patients with significant left ventricular hypertrophy (LVH) and how to identify occlusion MI in these patients (part 2/2)
LVH with strain pattern may mimic anterior coronary occlusion and is known to be a common cause of “false-positive” cath lab activations. The following prehospital ECGs were obtained in patients…
STAT ECG Diagnoses: the ECG in patients with significant left ventricular hypertrophy (LVH) and how to identify occlusion MI in these patients (part 1/2)
LVH with strain pattern may mimic anterior coronary occlusion and is known to be a common cause of “false-positive” cath lab activations. The following prehospital ECGs were obtained in patients…
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