ECG STAT Diagnoses
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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…
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:
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