Rhythm Interpretation
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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…
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:
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