Syncope

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…

Recurrent syncope with a short PR interval

A 48-year-old man presents with an episode of palpitations and near-syncope. He has had many similar episodes in the past without previous evaluation. Currently having mild palpitations with no other…

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…

Differential Diagnoses: the most likely causes of a prolonged QT interval

A 70-year-old woman presents to the ED with upper abdominal pain and vague paresthesias. The following ECG is obtained:

ECG Basics & Fundamentals: can torsades cause seizures?

A 55-year-old man presents to the ED after a witnessed seizure and is somnolent on arrival. He wakes up enough to mumble answers to a few questions but then becomes…

DIfferential Diagnoses: subtle but deadly causes of syncope to consider

A 56-year-old woman presents to the ED with chest pain and has a syncopal episode prior to arrival. She has a past medical history of hypertension, hyperlipidemia, is a smoker,…

Differential Diagnoses: life threatening causes of syncope

A 31-year-old woman presents to the ED after a syncopal episode. She reports feeling palpations daily for the past 1-2 weeks, but is now asymptomatic and well appearing. The following…

STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss

A 62-year-old male is being transported by EMS to the ED for acute onset chest pressure. He is noted to be hypotensive with a systolic blood pressure in the 50’s….

STAT ECG Diagnoses: post-cardiac arrest and syncope differentials you can’t miss

A 52-year-old African American male with no known past medical history is brought to the ED after resuscitated V. Fib arrest. A post arrest ECG after resuscitation is obtained:

Differential Diagnoses: right axis deviation in patients with syncope

HPI: A 49-year-old male with a history of chronic back pain presents to the ED with syncope. He describes 3 similar episodes over the past week with preceding dizziness. The…

Differential Diagnoses: considerations in patients with syncope