Rhythm Interpretation

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Interesting Cases from UMMC, Part II

A 58-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained:

Sloof Lirpa Sign

A 65-year-old woman presents to the emergency department with an episode of near-syncope. Her ECG shown below is interpreted by the ECG machine, an emergency physician, and a cardiologist as…

Interesting Cases from UMMC, Part I

A 63-year-old man presents to the emergency department with acute chest pain and an episode of syncope. The following ECG is obtained, and the cath lab is activated for suspected…

2024 EMS Cases Part III

A 75-year-old man with PMHx of hypertension on metoprolol is being brought in for 3 days of nausea, vomiting, and weakness. He reportedly appears dehydrated and is found to be…

New Year’s Resolution: a patient who is trying to get healthier presents to the ED with this unstable bradycardia

A 50-year-old man decides to get “his life in order” for the new year. He quits smoking, decides to eat healthier, exercise more, and to be more compliant with his…

Wide Complex Tachycardias: clues to VT mimics when the heart rate is too slow or the QRS complexes are too wide

An unknown aged female is being transported to the emergency department by EMS for altered mental status. She is agitated and slurring words. Vitals: 98/65, RR 24, HR 162.  The…

Wide Complex Tachycardias: precordial concordance and what to do when some leads appear narrow and others appear wide

A 38-year-old man is brought to the emergency department by EMS for palpitations after he is found to be tachycardic. He is noted to be hypotensive with SBP of 70…

Wide Complex Tachycardias: beware the many mimics of ventricular tachycardia

HPI: A 73-year-old woman with PMHx of HTN, DM, HLD presents to the emergency department with 2 days of vomiting, malaise, and indigestion with chest discomfort. The following ECG is…

Rhythm Interpretation: Ashman phenomenon vs. nonsustained ventricular tachycardia

A 49-year-old woman presents to the ED with palpitations. She is found to be tachycardic on arrival. The following ECG is obtained:

Wide Complex Tachycardias: differentiation between the four different types of ventricular tachycardia & the importance of recognizing arrhythmias in tachy-brady syndromes

A 73-year-old woman is found by family in bed with decreased level of consciousness. She is brought into the ED for evaluation and is found to have bradycardia and episodic…

Post-cardiac arrest ECGs: evaluation of ischemia, dysrhythmias, and their mimics

A 55-year-old man presents to the emergency department with nonspecific chest pain. 20 minutes into his evaluation he is found to be diaphoretic and unresponsive in cardiac arrest with ventricular…

Rhythm Interpretation: Sutton’s rule for the best lead to evaluate atrial activity

A patient presents to the emergency department with palpitations and is found to have an irregular rhythm. The following ECG is obtained:

Wide Complex Tachycardias: distinguishing malignant arrhythmias from their mimics

A 65-year-old woman with PMHx of Parkinson’s disease presents to the emergency department after an episode of syncope. She continues to feel unwell on arrival and appears diaphoretic, blood pressure…

UMEM cases that will teach you how to differentiate narrow complex regular and irregular tachycardias, electrocardiographic polyuria (too many P waves) and so much more!

A 92-year-old man is brought to the emergency department by EMS with palpitations. The following ECG is obtained on arrival:

Must know ECGs you will see on board exams and have to recognize in real life

A 34-year-old man is brought to the emergency department with delirium and agitation. The following ECG is obtained:

Rhythm interpretation: when to worry about cardiac rhythm strips

 A 61-year-old man presents to the emergency department with acute chest pain associated with diaphoresis and appears pale. While obtaining a history and performing a physical exam the patient has…

STAT ECG Diagnoses: how to approach and tackle tough dysrhythmias

A 91-year-old woman presents to the emergency department reporting that she is just not feeling well. She is noted to have an irregular rhythm. The following ECG is obtained and…

ECG Basics and Fundamentals: causes of pauses or clumped/grouped beats on the ECG

A 72-year-old man with PMHx of HTN presents to the emergency department with vomiting and lightheadedness. He is noted to be slightly bradycardic with an irregular rhythm on arrival. The…

Bradydysrhythmia: Does this patient need a permanent pacemaker?

A 63-year-old man presents to the emergency department with lightheadedness. He is noted to be bradycardic on arrival. The following ECG is obtained:

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