ECG STAT Diagnoses
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ECG Basics and Fundamentals: the basics of left bundle branch block (LBBB) and how to diagnose acute coronary occlusion myocardial infarction 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: the definition of electrical storm and what you need to know about it
A 58-year-old man with PMHx of cardiomyopathy (EF ~30%) presents to the ED with intermittent episodes of palpitations and near syncope. The following ECG was obtained during an episode:
Literature Review: subtle early signs of cardiac ischemia and the value of serial ECGs in patients being evaluated for acute coronary syndromes (ACS)
A 47-year-old man is brought to the ED by EMS for acute onset left sided chest pain. The history is concerning for an acute coronary syndrome. The following ECG was…
STAT ECG Diagnoses: the challenge of evaluating for occlusion MI in patients with left ventricular hypertrophy (LVH)
A 59-year-old man presents to the ED with intermittent exertional chest pain for the past 2 days. The following ECG is obtained:
Differential Diagnoses: important considerations in patients with new onset seizures or altered mental status, must know diagnoses in the emergency department
A 40-year-old man is brought into the ED after being found in the street and noted to have intermittent seizures. He is tachycardic, hypertensive, and febrile. The following ECG was…
STAT ECG Diagnoses: STEMI mimics and how you can use the QRS axis to clinch the diagnosis in patients with altered mental status
A 46-year-old man presented with pleuritic left sided chest pain. He was found down for an unknown period of time, with suspicion for drug overdose. The following ECG was obtained:
Bifascicular blocks, BRASH syndrome, and so much more!
This week we will continue discussing 6 more interesting prehospital EMS ECGs. Let’s start with this 78-year-old woman with PMHx of HTN who called an ambulance for generalized weakness associated…
How to distingusish between left anterior vs. posterior fascicular blocks (LAFB vs. LPFB), hyperkalemia emergencies, and much more!
This week we will quickly review 6 interesting prehospital EMS ECGs. Let’s start with this 46-year-old man who called an ambulance for chest pain and was noted to be diaphoretic….
STAT ECG Diagnoses: hyperacute T waves and other subtle but deadly ECG signs of acute coronary syndromes
A 64-year-old man presents to the ED with dyspnea and chest pain. The following ECG is obtained:
Bradyarrhythmias: what to consider when an unstable bradycardia is not reponding to standard ACLS treatments
A 60-year-old woman presents to the ED with dyspnea on exertion and malaise. She is hypotensive and bradycardic. The following ECG is obtained:
Literature Review: pearls and pitfalls in the ECG diagnosis for ventricular tachycardia
A 45-year-old with no known past medical history presents to the ED with palpitations. She is hemodynamically stable. The following ECG is obtained:
STAT ECG Diagnoses: left bundle branch block (LBBB) basics and expected findings with a focus on how to diagnose acute coronary occlusion myocardial infarction in these patients
A 85-year-old woman with a known history of LBBB presents to the ED with chest pain concerning for acute ischemia. The following ECG is obtained:
Literature Review: evaluation of Spodick’s sign and other electrocardiographic findings as indicators of STEMI and acute pericarditis
A 40-year-old male presents to the ED with chest pain. The following ECG is obtained with a computer interpretation of “Acute Pericarditis”:
STAT ECG Diagnoses: bizzare rhythm interpretation tips
An elderly patient is hospitalized with severe sepsis and multi-organ system failure. The following rhythm is noted on cardiac monitoring:
STAT ECG Diagnoses: ECG findings of digoxin effect vs. digoxin toxicity
A 57-year-old male with PMHx of DM, heart failure (on digoxin) and leukemia presents with lightheadedness and near-syncope. The following ECG is obtained:
STAT ECG Diagnoses: QRS fragmentation and attention to ecopic beats to help diagnose acute cardiac ischemia on the ECG
A 78-year-old male with PMHx of HTN and DM presents with chest discomfort and diaphoresis while moving the lawn. The following ECG is obtained:
STAT ECG Diagnoses: diagnosis of acute myocardial infarction (MI) in patients with paced rhythms
An 86-year-old female with PMHx of CAD and pacemaker placement presents to the ED with acute chest pain. Pain has been radiating to the right upper extremity for 1 hour…
STAT ECG Diagnoses: what is the signifcance of a new T wave inversion in aVL?
A 45-year-old male presents to the ED with chest pain and shortness of breath. The following ECG is obtained:
STAT ECG Diagnoses: ventricular rhythms in patients being evaluated for acute coronary syndromes (ACS)
A 45-year-old male presents to the ED with chest pain and diaphoresis. He is being treated for a suspected MI and is noted to have a change in rhythm. The following…
AV Block Bootcamp (Episode 3/3): the answer lies in the PR interval!
HPI: A 72-year-old female presents to the ED with chest pain and lightheadedness. The following ECG is obtained:
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