Cardiovascular Rhythm Nation - ECG
Biphasic T-Wave Pattern: Is it Wellens Syndrome?
Author: Esteban Davila Editor: Alec Feuerbach The Case An 18-year-old male without past medical history presented to the ED with one day of fever, headache, and left-sided chest pain starting 4 hours prior to arrival. The patient described the chest pain as achy, non-radiating, and worse with deep inspiration and Read more…
Cardiovascular Rhythm Nation - ECG
Stable, Wide-Complex Tachyarrhythmia: Should you even consider SVT with Aberrancy?
Co-authors: Paul Lavadera and Esteban Davila Peer Editor: Alec Feuerbach Faculty Editor: Mark Silverberg The Case A 65-year-old male with a history of hypertension, hyperlipidemia, diabetes, hypertrophic cardiomyopathy, recent stroke, and atrial fibrillation (AF) (+anticoagulation) presented to the ED for syncope. EMS noted a wide-complex tachycardia. EMS administered 150 mg Read more…
Cardiovascular Rhythm Nation - ECG
Bigeminy… Is that a New Zodiac Sign?
Author: Jaime Pospishil, Esteban Davila (more…)
Cardiovascular Rhythm Nation - ECG
Characteristics of Typical Atrial Flutter
Author: Alec Feuerbach Peer Editor: Nicole Anthony Faculty Editor: Mark Silverberg This week we have two ECGs to examine. The first is the ECG of a 50-year-old woman who presented to the ED after experiencing uncomfortable palpitations and lightheadedness. ECG 1: This ECG shows a rapid ventricular rate of Read more…
Cardiovascular Rhythm Nation - ECG
Interpreting a Paced Electrocardiographic Rhythm
Author: Nivedita Poola Peer Editors: Alec Feuerbach and Nicole Anthony Faculty Editor: Mark Silverberg Case A 72-year-old female with a past medical history of hypertension, hyperlipidemia, asthma, CVA with residual right sided weakness and aphasia was admitted to the hospital from subacute rehabilitation after a recent subacute infarct. Read more…
Cardiovascular
AAA Graft Gone Wrong: Part 1
Author: Philippe Ayres, MD Editor: Nicole Anthony, MD Introduction: Since the 1990s, EVAR (endovascular aortic repair) has largely replaced open repair of abdominal aortic aneurysms (AAA). Although there is a lower associated, perioperative 30-day all-cause mortality and morbidity when compared to open surgery, EVAR still carries a 25% to 30% Read more…
Cardiovascular Rhythm Nation - ECG
Rhythm Nation – Wellens Syndrome
Author: Karen Jeoffroy Peer Editors: Alec Feuerbach, Nicole Anthony Faculty Editor: Mark Silverberg Case A 75-year-old male with a history of hypertension, diabetes, hyperlipidemia, and coronary artery disease (on aspirin and clopidogrel) presents to the Emergency Department (ED) four hours after an episode of left-sided, non-radiating chest pain with associated Read more…
Cardiovascular Rhythm Nation - ECG
Rhythm Nation April 2022: A Case of ECG ST-Elevations
Author: Zachary Moore Peer Editors: Alec Feuerbach, Nicole Anthony Faculty Editor: Mark Silverberg It is just another night at University Hospital of Brooklyn when a 70-year-old female with a past medical history of hypertension, hyperlipidemia, COPD, and hypothyroidism comes in with altered mental status for the past few hours. Read more…
Cardiovascular Sono of the Week Ultrasound and Radiology
Ultrasonography of Cardiac Tamponade
Drs. Conrad, Madden, and Cutright Team Sono: Drs. Hanuscin and Lee Edited by: Dr. Murphy Case background: A middle-aged woman presented to the ED with a few weeks of progressively worsening dyspnea on exertion. POCUS showed moderate-sized pericardial effusion with signs of RV diastolic collapse and RA systolic collapse. POCUS Read more…