Archive for category: ECG

ECG Changes of Hyperkalemia

17 Apr
April 17, 2014

Hyperkalemia is an electrolyte abnormality seen in the emergency department as well as in hospitalized patients and it can be associated with adverse clinical outcomes and death if not treated appropriately. It is important to remember that the electrophysiologic effects of hyperkalemia are directly proportional to both the absolute plasma potassium and its rate of […]

ECG Basics

15 Feb
February 15, 2014

Electrocardiography is a fundamental part of cardiovascular assessment. It is an essential tool for investigating cardiac arrhythmias and ischemia. Just because electrocardiography is a basic skill in EM doesn’t mean that our skills should be basic…we must be the EXPERTS! Below is a summary of some ECG basics including: ECG Measurements ECG Rate ECG Axis  

The HEART Score: A New ED Chest Pain Risk Stratification Score

10 Jan
January 10, 2014

Chest pain is a common presentation complaint to the emergency department (ED) and has a wide range of etiologies including urgent diagnoses (i.e. acute coronary syndrome (ACS), pulmonary embolism, aortic dissection) and non-urgent diagnoses (i.e. musculoskeletal pain, gastroesophageal reflux disease (GERD), pericarditis). The challenge in the ED is to not only to identify high risk […]

R.E.B.E.L. ECG of the Week #6

12 Dec
December 12, 2013

The case from this week is from one of the PGY-1 residents at University of Texas Health Science Center at San Antonio (UTHSCSA).  Several of the details of the case have been changed to keep patient information confidential. 53 year old female with a past medical history of hypertension, hyperlipidemia, coronary artery disease, and 3 anterior […]

R.E.B.E.L. ECG of the Week #5

04 Dec
December 4, 2013

R.E.B.E.L. EM ECG of the Week #555 year old male with chief complaint of palpitations.  Denies any chest pain, shortness of breath, diaphoresis, or syncope.  His past medical history is significant for diastolic congestive heart failure, type 2 diabetes mellitus, hypertension, and hyperlipidemia. Per patient he had a diagnosis of atrial fibrillation vs ventricular tachycardia 2 years prior, but he is unsure of which one exactly.

BP: 153/83     HR: 183     RR: 18     O2 on RA: 99%     Temp: 36.3

ECG from triage is shown… Read more →

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