A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index EKG
A 49-year-old male with a history of hypertension, hyperlipidemia, and a history of opioid use disorder presents to the emergency department. The tech hands you this EKG (Figure 1) and says, “Hey doc, this patient states he has palpitations, they are going to R1.”
Taylor Wahrenbrock MD, Michael Hohl MD, Michael Nelson MD, and Ari Edelheit MD
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Figure 1. Index EKG
The patient is a 69-year-old female with past medical history of remote myocardial infarction status post stent placement 19 years ago, who is presenting for concern of chest pain. She states the pain started approximately 30 minutes prior to arrival and has shortness of breath as well as chest pressure. The pain radiates down her left arm.
Erica Dolph MD and Ari Edelheit
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Figure 1. Initial arrhythmia detected on telemetry
A 74 year old male with history of STEMI s/p PCI with DES of LAD and RI, HFrEF (EF 20-25%), sick sinus syndrome s/p DC-PPM, atrial flutter, hypertension, insulin-dependent diabetes, severe PAD s/p right IR SFA stent, and pancreatic insufficiency presenting for hypotension from general surgery clinic. The patient is brought to the resuscitation bay and while you are waiting for your work-up the monitor alarms and shows the following (Figure 1).
Michael Hohl MD and Ari Edelheit MD
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