Syncope

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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…

Literature Review: Brugada Syndrome

A 55-year-old man with no significant PMHx (on no medications) presents to the emergency department with right lower quadrant pain. He is afebrile on arrival, with mild sinus tachycardia. He…

Literature Review: Fever and ST segment elevation after syncope

A young woman presents to the ED after a syncopal episode. She hit her chest after falling and has reproducible chest wall tenderness on exam. She is also noted to…

Literature Review: Fever and ST segment elevation after syncope

A young woman presents to the ED after a syncopal episode. She hit her chest after falling and has reproducible chest wall tenderness on exam. She is also noted to…

Literature Review: ST segment elevation after syncope and cardiac arrest

A 22-year-old man with no known significant PMHx presents after syncope. He is asymptomatic on arrival with normal vital signs. History and physical exam is non-diagnostic. While an ECG is…

STAT ECG Diagnoses: high left ventricular voltages and ‘dagger like’ Q waves

A 20-year-old man presents with nonspecific chest pain. His history and physical exam are unremarkable. The following ECG is obtained:

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:

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…

ECG Basics and Fundamentals: the value of ignoring the ECG computer interpretation and looking closely at all 12 leads

A 48-year-old female presents to the ED with palpitations and near-syncope. She reports multiple episodes of palpitations in the past that have not been evaluated. The following ECG is obtained:

STAT ECG Diagnoses: ECG findings of cardiac syncope, what you need to look for what you can’t miss!

A 55-year-old male with PMHx of COPD presents to the ED with dyspnea and chest pain. He is asymptomatic on arrival but reports two recent episodes of syncope without prodrome….

ECG Basics and Fundamentals: right axis deviation differential and ST segment elevation in rightward leads

A 48-year-old woman presents to the ED with chest pain and near syncope. The following ECG is obtained:

STAT ECG Diagnoses: Brugada ECG pattern vs. Brugada syndrome

A 22-year-old male presents to the ED after a brief syncopal episode. He is now asymptomatic; history and physical exam are non-diagnostic. The patient becomes unresponsive while getting the following…

Syncope: Brugada Syndrome

A 33-year-old woman has a syncopal episode while in the bathroom. The following ECG was obtained on arrival to the ED after the episode:

ECG Basics and Fundamentals: Hypertrophic Cardiomyopathy

HPI:  A 30-year-old female is brought to the ED after a syncopal episode. Her history and physcial exam are unremarkable. The following ECG is obtained: Case ECG Before watching this…

STAT ECG Diagnoses: epsilon waves in patient with syncope

A teenage girl presents to the ED after brief syncope during sports activity. The following ECG is obtained:

Literature Review: Arrhythmogenic Right Ventricular Dysplasia / Cardiomyopathy

A middle-age man presents to the ED after a syncopal episode while playing tennis. The following ECG is obtained:

Differential Diagnoses: rollercoaster T waves

A 45-year-old woman presents to the ED with lethargy. BP = 100/50, HR = 60, RR= 12 & shallow. Her nurse thought her rhythm looked abnormal on the cardiac monitor…

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