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 […]
Archive for category: ECG
55 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 →
The recognition of ST-segment elevation myocardial infarction (STEMI) in the presence of left bundle-branch block (LBBB) remains difficult and frustrating to both emergency medicine physicians and cardiologists. According to the 2004 STEMI guidelines, emergent reperfusion therapy was recommended to patients with suspected ischemia and new LBBB however, the new 2013 STEMI guidelines made a drastic […]
62 year old male with chief complaint of weakness. Patient had a complicated hospital course including necrotizing fasciitis which required surgical debridement and IV antibiotics. Patient was discharged home with oral antibiotics and returned to the ED with a chief complaint of weakness, abdominal pain, and 3 weeks of loose bowel movements. BP: 100/51 […]
Differentiating between SVT with aberrancy versus VT can be very difficult. It is crucial to be able to make this distinction as therapeutic decisions are anchored to this differentiation. Brugada et al prospectively analyzed 384 patients with VT and 170 patients with SVT with aberrant conduction to see if it was possible to come up with […]