7/17/24 - Conference - OMI - Junior Resident Small Group

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Written by Galina Udod MD, Tobias Kirchwey MD, and Eric Tang MD

Is there an occluded coronary artery causing an acute myocardial infraction?

Assume every patient is presenting with chest pain unless told otherwise.

Click on image for full screen view (only on computer).

ECG #1

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology

‣

ST Segments/ T wave

‣

OMI?

‣

Source

ECG #2

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology

‣

ST Segments /T waves

‣

OMI?

‣

Source: ECG 807

ECG #3

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology:

‣

ST Segments:

‣

OMI?

‣

Source: ECG Bank 224

ECG #4

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology:

‣

ST Segments / T waves

‣

OMI?

‣

Source: ECG 240

ECG #5

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology:

‣

ST Segments/ T wave

‣

OMI?

‣

Source: ECG 449

ECG #6

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology

‣

ST Segments

‣

OMI?

‣

Source: ECG 242

ECG #7

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology

‣

ST Segments/ T wave

‣

OMI?

‣

Source: 203

ECG #8

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology:

‣

ST Segments:

‣

OMI?

‣

Source: ECG 529

ECG #9

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology:

‣

ST Segments:

‣

OMI?

‣

Source: ECG 779

ECG #10

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology:

‣

ST Segments/ T wave

‣

OMI?

‣

Source: ECG 973

ECG #11

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology:

‣

ST Segments

‣

OMI?

‣

Source: ECG Bank #317

ECG #12

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology:

‣

ST Segments:

‣

OMI?

‣

Source: ECG Bank #221

ECG #13

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology

‣

ST Segments

‣

T wave

‣

OMI?

‣

Source: ECG bank #940

ECG #14

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology

‣

ST Segments/T wave:

‣

OMI?

‣

Source: ECG 159

ECG #15

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology

‣

ST Segments

‣

OMI?

‣

Source: ECG Bank 904

ECG #16

Old ECG

ECG today - presenting with chest pain that resolved

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology:

‣

ST Segments/ T wave:

‣

OMI?

‣

Source: ECG 291

ECG #17

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

P- waves

‣

QRS morphology:

‣

ST/T wave

‣

OMI?

‣

Source: ECG 607

ECG #18

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology

‣

ST Segments/ T wave:

‣

OMI ?

‣

Source: ECG 656

ECG #19

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology

‣

ST Segments/T waves

‣

OMI?

‣

Source: ECG 408

ECG #20

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology

‣

ST Segments/T wave:

‣

OMI:

‣

Source: ECG bank #760

ECG #21

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals:

‣

QRS morphology

‣

ST Segments/ T wave

‣

OMI?

‣

Source: ECG 212

ECG #22

Interpretation

‣

Estimate the heart rate (slow, fast or normal), rhythm, and axis to the nearest quadrant.

Anything abnormal?

‣

Intervals

‣

QRS morphology:

‣

ST Segments/ T wave

‣

OMI?

‣

Source: ECG 236