Rhythm Interpretation
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Recent UMMC Cases (Part III)
A 67-year-old man arrives at the emergency department with palpitations. He is noted to be tachycardic at triage and the following ECG is obtained and interpreted as “sinus tachycardia”:
Recent UMMC Cases (Part I)
A 69-year-old man arrives at the emergency department with shortness of breath and profuse sweating. The ECG obtained below shows sinus tachycardia at a rate of ~ 130 bpm with…
When One Lead Stands Alone: Deciphering Bizarre ECG Abnormalities
A 67-year-old woman with PMHx of HTN, DM, and ESRD presents to the emergency department drowsy and non-cooperative. Her blood sugar is elevated, pH 7.23, and there is concern for…
How the Lewis Lead Can Improve Tachyarrhythmia Diagnosis
A 68-year-old woman presents to the emergency department with palpitations and tachycardia. The following ECG is obtained:
The Approach to Uncovering Hidden STEMI
A 92-year-old man presents to the emergency department with acute chest pain and diaphoresis. The following ECG is obtained:
Case Potpourri: Avoiding AFib Misdiagnosis, Recognizing Mobitz, and Managing Polymorphic V-Tach
A 50-year-old man is brought to the emergency department after successful resuscitation from a witnessed cardiac arrest. EMS was initially called to the scene for chest pain. While on scene,…
2024 EMS Cases Part IV
A 60-year-old man is being transported by EMS to the emergency department for acute chest pain. The following ECG is transmitted prior to arrival as a “CODE STEMI” and brought…
Distinction Between AV Dissociation and Complete Heart Block
A 54-year-old man presents to the emergency department with chest pain. The following ECG is obtained:
Key Points to Note About Complete Heart Block
A 70-year-old woman presents to the emergency department with lightheadedness and dizziness that is worse with standing. The following ECG is obtained:
Key Points to Note About Mobitz I & Mobitz II
A 49-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained:
Subtle ECG Changes and Diagnostic Challenges
A 70-year-old male presents to the emergency department with acute chest pain that sounds ischemic in nature. The following baseline ECG, arrival ECG, and repeat ECGs are obtained:
2024 ECG Competition Answers (Part 2/2)
Instructions from Dr. Mattu: In some of the following questions, I’ll ask you for a FULL ECG interpretation/diagnosis. Here’s what I am asking for: SAMPLE QUESTION: A 58 yo M…
2024 ECG Competition Answers (Part 1/2)
Instructions from Dr. Mattu: In some of the following questions, I’ll ask you for a FULL ECG interpretation/diagnosis. Here’s what I am asking for: SAMPLE QUESTION: A 58 yo M…
How to avoid misdiagnosis of irregular rhythms
A 80-year-old woman is referred to the emergency department for suspected rapid atrial fibrillation. The following ECG is obtained on arrival:
Unraveling WPW Syndrome: Challenging Cases and Nuances of Treatment
A 15-year-old male with a history of asthma presents with palpitations while playing football. On arrival, he is found to have a narrow complex regular tachycardia most consistent with SVT….
Wolff-Parkinson-White (WPW) Syndrome with Atrial Fibrillation (Afib)
A 53-year-old man presents to the emergency department with palpitations and lightheadedness. On arrival, he is found to have a wide complex tachycardia and the following ECGs is obtained:
Wolff-Parkinson-White (WPW) Syndrome with Supraventricular Tachycardia (SVT)
A 24-year-old man with past medical history of WPW syndrome s/p ablation presents to the emergency department with palpitations. On arrival, he is found to have a wide complex tachycardia…
Post cardioversion ECG of SVT in patient with palpitations and near syncope
A 29-year-old woman presents to the emergency department with an episode of palpitations and near syncope. She reports several similar episodes in the past that were brief in duration and…
Runs of ventricular tachycardia vs. another phenomenon
A 33-year-old man with a past medical history of atrial fibrillation years ago presents with anxiety and shortness of breath. His blood pressure is normal on arrival but he is…
Interesting Cases from UMMC, Part III
A 63-year-old woman presents to the emergency department with dizziness and syncope. The following ECG is obtained:
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