Core EKGs

A Cold-Hearted Rhythm

HPI: 61yo M PMH HTN, AUD, HFpEF, CAD, hypothyroidism, anemia is brought in by EMS after being found down at his shelter in the middle of winter. He was discovered surrounded by empty alcohol bottles and covered in feces. Per shelter …

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When T-Waves Take a Dive: Unraveling the Mystery Behind the EKG

HPI: A 40-year-old male with no significant past medical history presents to the ED via EMS with 2 weeks of progressive chest pain and dyspnea on exertion that worsened today while at work. While at work (as a cook) on the …

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Something not quite Right?

HPI: A 33 year old male with a PMH of AICD presents with palpitations and shortness of breath that began abruptly 30 minutes prior to arrival while working out at the gym. The patient was found to be in a wide …

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Don’t stress, it’s just an ECG…

HPI: An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. She was running to catch the bus to visit her husband in the hospital when she …

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Weakness and Palpitations. What’s “long” with this ECG?

HPI: A 24-year-old man with no past medical or surgical history presented to the emergency department with 5 days of progressively worsening bilateral leg cramping, paresthesias, and multiple falls. The following ECG is obtained:

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Pacemaker Associated Tachycardia

HPI: A 96-year-old female with a history of coronary artery disease, hypertension, and complete heart block status post dual-chamber pacemaker (remote) presents to the ED by EMS with generalized weakness and lethargy.

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Better Watch Your Back… Finding the Needle in the Haystack.

HPI: A 71-year-old male with a history of chronic obstructive pulmonary disease, hyperlipidemia, and peptic ulcer disease presents to the emergency department with substernal chest pain radiating down the right arm and dyspnea that began acutely while “running” up the stairs …

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The Intervals Aren’t Alright!

HPI: An elderly male with a past medical history of hypertension and diabetes presents to the emergency department with a chief complaint of diarrhea and shortness of breath. His vital signs are: HR 60, BP 105/65, RR 30, O2 100% on …

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