Core EKGs

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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Acute Chest Pain? Spill the “T”

HPI: A 62-year-old male with a history of Hypertension, Hyperlipidemia, Coronary Artery Disease with stents, Pulmonary Embolism on Eliquis, presents with sudden onset, severe, mid-sternal chest pain that started 15 minutes prior to arrival. He arrived initially with diaphoresis and pallor …

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Postpartum Acute ST Elevation

HPI: A 32-year-old G3P3 female, 5 days status-post cesarean-section, is brought in by EMS to the emergency room for chest pain and dizziness. An hour prior to arrival she was resting on the couch when she suddenly developed chest pain and …

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Wide Complex Tachycardia

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HPI: A 41-year-old male presents to the ED with constant palpitations for one day. The patient's medical history is notable for a congenital bicuspid aortic valve, four months post aortic valve replacement with a post-surgical ejection fraction of 30%. The following …

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