47 year-old female with past medical history of depression and supraventricular tachycardia, brought in by EMS with altered mental status and found with empty pill bottles nearby. What is the interpretation of this ECG? What likely happened to this…
Excellent answer by Dr. Kylie Birnbaum! This patient indeed has a supraventricular tachycardia (SVT), and indeed was found to have fast-slow atrioventricular nodal re-entrant tachycardia (AVNRT) on later electrophysiologic study. In the ED at Janus General, however, vagal maneuvers failed…
Thanks to Dr. Freedman for today’s Morning Report! Part 1: ECG Findings of Hypokalemia First some definitions: Mild: K < 3.5 mmol/L Moderate: K < 3.0 Severe: K < 2.5 ECG Changes: Typically appear at ~2.7 Increased…
Dr. Grock presents today’s Morning Report! The Case: 65 M h/o HTN, CHF w/ EF 25% with AICD presents s/p 3 shocks. Appears well. ECG: LBBB unchanged without any other scariness. What do you do? (IV/O2,Cards for device interrogation, Check lytes…
80 yo F presents with intermittent palpitations associated with shortness of breath but is otherwise stable. What is your differential for this rhythm? How do you treat it? Best answer by Friday will win!
From the hand of Dr. Yonatan Yohannes… . This case puts the providers in a bit of a dilemma. The ECG is concerning for possible left main coronary artery (LMCA) or proximal left anterior descending (LAD) artery occlusion. However, the history…
Well that was unexpected… By Dr. Michelle DiMare Welcome back! This month’s post explores a common diagnosis with an uncommon complication. Or is it more common than we think?? In a fictional hospital nearby, a healthy…
This month we have a guest author Dr. Yonatan Yohannes! You are busy working late one night in the ED at Janus General when… a tech hands you the ECG shown below for a patient presenting with “chest pain”.…