ECGWeekly

This week we review the answers to questions 14th Annual UMEM Residency ECG Competition. Make sure to answer the questions yourself before watching the video take home points! Our Annual competition is open to the public! rebrand.ly/4pmakj1

A 72-year-old man is brought to the ED after witnessed cardiac arrest. Bystander CPR was started quickly, EMS found a nonshockable rhythm, epinephrine was given, and ROSC was achieved. Forty minutes later, the patient remains comatose, and the ECG....ecgweekly.com/weekly-workout…

A 72-year-old man is brought to the ED after a witnessed out-of-hospital cardiac arrest. Bystander CPR is started quickly, EMS finds a non-shockable rhythm, and ROSC is achieved after one dose of epinephrine. He arrives intubated and unresponsive......ecgweekly.com/weekly-workout…

A 70 yo woman with CHF, COPD, intermittent atrial fibrillation, chronic pain medication use, and recent poor intake develops sudden dyspnea at rest and is found somnolent and bradycardic in the 30s to 40s. Paramedics obtain a prehospital ECG showing........ecgweekly.com/weekly-workout…

A 44 yo man with severe cardiomyopathy, an LVAD, chronic amiodarone therapy, and an AICD presents with palpitations. His ECG shows a regular wide-complex tachycardia, but the rate is only 135. There also appears to be retrograde atrial activity.....ecgweekly.com/weekly-workout…

A 71 yo man presents with shortness of breath, and his ECG is initially read as a junctional rhythm. On later review, it is even mistaken for atrial fibrillation. But the rhythm is actually regular, and closer inspection reveals subtle atrial.......ecgweekly.com/weekly-workout…

An 81 yo woman presents with lightheadedness and marked bradycardia. Her ECG shows more P waves than QRS complexes, but the mechanism is not immediately clear. The key question is whether the PR intervals follow a pattern or whether the atria......ecgweekly.com/weekly-workout…

A 72 yo man presents with chest pain and shortness of breath. His ECG shows sinus rhythm with LVH, mild inferior ST elevation, and lateral ST-T abnormalities that some interpret as simple LVH strain rather than acute ischemia. A repeat tracing.....ecgweekly.com/weekly-workout…

A 60 yo man presents with chest pain that seems a little better after belching, but his clinician is not reassured. The initial ED ECG shows subtle ST-segment abnormalities and cardiology is not convinced. A repeat tracing is obtained 15 minutes later......ecgweekly.com/weekly-workout…

A 60 yo presents with palpitations and an irregular wide-complex tachycardia. The computer calls atrial fibrillation with a left bundle branch block, but a subtle clue in the precordial leads suggests this is more than just an arrhythmia.......ecgweekly.com/weekly-workout…

A 68 yo man has a second syncopal episode while lying on a stretcher during evaluation. He remains lightheaded with borderline bp and a ventricular rate in the low 50s. The ECG shows electrocardiographic polyuria, with more atrial activity......ecgweekly.com/weekly-workout…

56.5 Hours of CME. One Subscription. 30.5 hrs Enduring CME + 26 hrs AMA PRA Cat 1 ECGWeekly Max — $100/year - Use the QR code Or grab the CME alone for $199 - rebrand.ly/jqepbok

A 49 yo man arrives with palpitations and chest discomfort. The monitor shows an irregular, wide-complex tachycardia with varying morphology and rates nearing 250 to 300 bpm. The team debates polymorphic VT versus another high-risk rhythm......ecgweekly.com/weekly-workout…

A 53-year-old man presents with palpitations and lightheadedness. The following ECG is obtained on arrival and appears very rapid and irregular with changing QRS morphologies. He starts showing signs of instability shortly after arrival........ecgweekly.com/weekly-workout…

A young man with recurrent palpitations presents to the ED hemodynamically stable during an episode. The arrival ECG shows a wide complex, regular tachycardia and the computer interpretation...........ecgweekly.com/weekly-workout…

A critically ill 38 yo man presents hypotensive, pale, and diaphoretic with abdominal pain and rectal bleeding. Upright chest X-ray shows free air under the diaphragm, and the patient is headed urgently to the OR. The following pre-op ECG is obtained......ecgweekly.com/weekly-workout…

A 54 yo m is presented to the emergency department by EMS with acute shortness of breath. A prehospital ECG triggers a STEMI alert based on the computer interpretation. The tracing shows dramatic ST-segment abnormalities that appear convincing at first....ecgweekly.com/weekly-workout…

A 68 yo man is brought to the emergency department by EMS with acute chest discomfort. The following prehospital ECG was obtained and shows concave ST elevation across multiple leads. The computer interprets the tracing as benign early repolarization.....ecgweekly.com/weekly-workout…

A 51-year-old man with lung cancer presents with shortness of breath and tachycardia. The arrival ECG shows an S1Q3 pattern and seems to support a familiar diagnosis that would normally trigger immediate anticoagulation.....ecgweekly.com/weekly-workout…

A 43-year-old woman with sharp left-sided chest pain and minimal cardiac risk factors has an initial ECG that is not diagnostic for STEMI. She looks stable, but one feature on the ECG is hard to ignore....ecgweekly.com/weekly-workout…