Browsing: Cardiology

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ECG Challenge , Cardiology

ECG Challenge: August-September 2020

8/17/2020 Brett Jennings, DO , Jeremy Berberian, MD
A 57-year-old male presents with AMS. He is minimally responsive and there is no additional history available. His initial heart rate was 25 with a blood pressure of 80/30. What is your interpretation
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ECG Challenge , Cardiology

ECG Challenge: June-July 2020

6/11/2020 Emily Luvison, MD , Johnny Rowles, MD , Jeremy Berberian, MD
A 46-year-old male with a history of hypertension presents with palpitations and lightheadedness. What is your interpretation of the ECG?
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ECG Challenge , Cardiology

ECG Challenge: April-May 2020

4/23/2020 Danielle Miano, MD , Gregory Steinberg, DO , Jeremy Berberian, MD
A 33-year-old male presents to the emergency department because of palpitations. He reports a history of similar episodes in the past that always respond to adenosine. What is your interpretation of t
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Cardiology

Non-Sustained Ventricular Tachycardia Following Modified Valsalva Maneuver for Atrioventricular Nodal Reentry Tachycardia

4/23/2020 Alexander J. Davies, MD , Lisa Gehm, MD, FACEP
The magic of the modified Valsalva maneuver in cardioverting certain dysrhythmias is not without its own risks.
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Cardiology

25-Year-Old STEMI: What a Paradox

4/23/2020 Tung-Lin Jesse Yuan, DO , Brian Monaco, MD
Paradoxical coronary emboli are rare phenomena that nevertheless should remain on your differential when patients with low risk factors for coronary artery disease develop atraumatic chest pain.
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ECG Challenge , Cardiology

ECG Challenge: February - March 2020

2/13/2020 Paul Smyser, MD , Jeremy Berberian, MD
A 62-year-old male presents with 1 hour of crushing chest pain radiating to the right shoulder. What is your interpretation of the following ECG and what would you do next?
Cardiology , Radiology

Aortic Dissection: End the Glow!

2/12/2020 Roli Kushwaha, MD , Anthony Furiato, DO, FACEP , Justin McNamee, DO, FACEP
The key concern in the ED is if there is a way to risk stratify patients for AD and, if so, is there a test with high enough sensitivity and negative likelihood ratio to rule it out.
Cardiology

Primary Cardiac Synovial Sarcoma Complicated by a Malignant Pericardial Effusion

2/11/2020 Ryan Joseph, DO, DTM&H , Charles Kennedy , Meera Gebrael, MD , Shane Jennings, MD, FACEP
In this patient, bedside transthoracic echocardiography was key to discovering the cause of chest pain and shortness of breath.
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ECG Challenge , Cardiology

ECG Challenge: December 2019 - January 2020

12/16/2019 Ben Flitter, MD , Annelies De Wulf, MD, MS, MPH , Christopher Willoughby, MD
A 53-year-old male with unknown past medical history presents by EMS after a syncopal episode, acute shortness of breath, chest pain, and altered mental status. His initial vital signs are notable for
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Cardiology , Shock

Management of Atrial Fibrillation in Hypertrophic Cardiomyopathy

10/10/2019 Vase Bari, MD , B. Bryan Graham, DO
About 1 in 5 patients with hypertrophic cardiomyopathy will develop atrial fibrillation. Here's how to clue in to this underlying cause of the dysrhythmia when a patient presents to you in the ED.