Rhythm Interpretation
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STAT ECG Diagnoses: isorhythmic AV dissociation and complete heart block
A 43-year-old man with a history of demand pacemaker placement gets the following routine ECG during outpatient follow up with his primary care provider:
Bradyarrhythmias: the nuances of complete heart blocks
A 50-year-old man presents to the emergency department with generalized weakness and lightheadedness. He is noted to be bradycardic, and the following ECG is obtained:
Bradyarrhythmias: the types of acute myocardial infarction associated with heart block
A 48-year-old woman presents to the emergency department with a 2-day history of intermittent neck pain associated with nausea. Her pain progressively worsened and is now persistent. The following ECG…
Bradyarrhythmias: rash, a history of tick bite, and slow regular rhythms
A 61-year-old man presents to the emergency department with generalized weakness and dyspnea. He reports a recent tick bite and associated circular rash with target-like appearance to the arm. He…
EMS ECGs: regular and irregular narrow complex tachycardias, junctional rhythms, the ECG in LVAD patients, and more!
A 62-year-old man is found unresponsive at home. The following EMS ECG is obtained:
Rhythm Interpretation: electrocardiographic polyuria (too much P…waves) and how to successfully break down complicated rhythms
A 54-year-old man presents to the emergency department reporting that his heart feels like it is skipping beats. He is noted to be bradycardic on arrival. The following ECG is…
Differential Diagnoses: AV blocks, tachyarrhythmias, and what you need to look for on the ECG of every patient with syncope
A 36-year-old woman is brought into the emergency department after an episode of syncope. She reports palpitations prior to the episode but is otherwise asymptomatic on arrival. Vital signs are…
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…
Rhythm Interpretation: atrial tachyarrhythmia review part 2/2
EMS transmits the following ECG from a 78-year-old male who is having palpitations and chest discomfort:
Rhythm Interpretation: atrial tachyarrhythmia review part 1/2
A 40-year-old woman is brought into the ED with palpitations and chest discomfort. She is noted to be tachycardic on arrival. Treatment is started with IV fluids for sinus tachycardia….
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:
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: 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…
Literature Review: treating dysrrhythmias in pregnant patients
A 25-year-old woman G2P1 with no known PMHx is in full term labor when she experiences palpitations and is noted to be tachycardic. The following ECG is obtained:
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:
STAT ECG Diagnoses: considerations with the heart rate is way too fast in patients with tachyarrhythmias
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:
STAT ECG Diagnoses: what exactly is Ashman phenomenon and why does it matter?
A 50-year-old male with PMHx of atrial fibrillation presents to the ED with palpitations. He is found to be tachycardic, and while being treated for suspected atrial fibrillation with RVR,…
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