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HPI: 74 y/o male with history of HTN, DM, and early dementia presents to ED following a witnessed syncopal event at home. Family denies seizure activity, trauma, or anticoagulation. He is now asymptomatic and back at clinical baseline. Laboratory workup and CXR are unremarkable. EKG is shown below: ECG:  Question:
-What kind of block is this patient in? -If the EKG is unchanged from previous, does this patient still require admission for syncope workup?
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HPI: 20 y/o otherwise healthy male presents after syncopal event while playing basketball. He is athletic, plays basketball 7 days a week, and has never syncopized before. There was a prodromal sensation of “lightheadedness”, but he denies other symptoms and is asymptomatic upon ED arrival. EKG is obtained immediately: EKG:  QUESTION: Are these benign T-wave changes? What study needs to be obtained to confirm the diagnosis?
HPI: 55 y/o male with no past medical history presents with vague symptoms including nausea, lethargy, and weakness. Vital signs are within normal limits. Before labs come back you obtain this EKG: EKG:  Question: What interval is abnormal in this EKG and what is the most likely lab abnormality that can be expected as the cause?
HPI: Approximately 30 year old female with history of frequent PVCs who presents via EMS with palpitations and near syncope. She was driving on the highway when she had to stop due to abrupt palpitations, SOB, and sensation like she was about to “black out”. EKG:  Question: Does this patient have a STEMI and do you need to activate the cath lab?
HPI: Patient is a 54-year-old male presenting with palpitations and near syncope. Patient states that he was told he had a “heart problem” as a child. He was diagnosed with atrial fibrillation some 10+ years ago. EKG:  Question: What is the rhythm and what is the indicated treatment?
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AuthorEM Off Service Cardiology Rotator Archives
August 2015
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