Rhythm Interpretation
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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
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 obtained:
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…
Wide Complex Tachycardias: review of ventricular rhythms, benign and malignant
A 52-year-old man with PMHx of diabetes presents to the emergency department with chest pain, nausea, vomiting, and cough. He is found to be tachycardic at triage. The following ECG…
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 55-year-old woman with PMHx of CHF presents to an urgent care facility with shortness of breath, orthopnea, and weight gain after running out of her diuretics for the past…
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:
Post-cardiac arrest ECGs: the value of the post return of spontaneous circulation (ROSC) ECG and when it should be repeated
A 74-year-old man is brought into the emergency department by EMS for witnessed cardiac arrest. Initial rhythm was ventricular fibrillation s/p defibrillation with subsequent PEA. He received standard prehospital ACLS…
Bradydysrhythmia: An irregular rhythm with grouped or clumped beats
A 75-year-old woman presents to the emergency department with palpitations and near syncope. She is noted to be bradycardic with an irregular rhythm. The following ECG is obtained on arrival:
Narrow Complex Tachycardia: sinus tachycardia, atrial flutter, or SVT?
A 52-year-old man presents to the emergency department with palpitations and is found to be tachycardic. The following ECG is obtained on arrival:
Bradydysrhythmia: when is it actually considered a complete heart block?
A 52-year-old man presents to the emergency department with chest pain associated with nausea and diaphoresis. The following ECG is obtained on arrival:
STAT ECG Diagnoses: causes of right axis deviation, and evaluation of ST segments in patient with right bundle branch block (RBBB)
An 80-year-old man presents to an emergency department in Chile with chest pain radiating to the right shoulder and back. The following ECG is obtained on arrival and computer interpreted…
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