12-lead - STEMI mimics Flashcards
A 40 year old male presents to the ED with syncope and seizure. What is your interpretation of this ECG? Takotsubo cardiomyopathy Pericarditis Brugada syndrome Anterolateral STEMI
Brugada syndrome
A 69 y/o female presents to the ED with chest pain, SOB, and nausea. She tells you that she very recently lost her husband of 45 years. What is the most likely interpretation of this ECG? Pulmonary embolus Left ventricular hypertrophy Takotsubo cardiomyopathy LAD occlusion
Takotsubo cardiomyopathy
A 40 y/o female with a history of hyperlipidemia and smoking presents to the ED with non-radiating, non-reproducible chest pain. The computer reads the ECG as pericarditis. What is your interpretation of this ECG? LAD occlusion Benign early repolarization Pericarditis Brugada syndrome
LAD occlusion
A 48 year old male presents to the ED with chest pain. He was seen at another hospital and found to have a slightly elevated troponin, then underwent a CT pulmonary angiogram (PE) protocol which revealed a right sided pneumonia. He was treated with Ceftriaxone and Azithromycin. The pain is retrosternal, is worse when supine, and radiates to the right arm. Other than a low-grade fever, vital signs are WNL.
What is the most likely diagnosis based on this ECG? Inferolateral MI LAD occlusion Inferior MI Pericarditis
Pericarditis
A 43-year-old man with no reported past medical history presented with acute onset chest pain and shortness of breath. Over the past few days he had been noticing some intermittent central chest pain described as "burning" with associated shortness of breath. He had no cardiac family history, no drug use, no recent COVID infection. His vitals were normal except for mild tachycardia. Anteroseptal MI Pericarditis Pulmonary embolus Brugada syndrome
Pulmonary embolus
This is a 41-year-old male with severe asthma who barely avoided intubation. His troponin I returned at 0.130 ng/mL.
What is the most likely interpretation of this ECG? Acute left heart strain Wellen’s syndrome Brugada syndrome Acute right heart strain
Acute right heart strain
A middle-aged woman presented to the ED with increasing dyspnea on exertion. She had a normal physical exam except for a heart rate slightly over 100. A few hours after admission, she develops hypotension and worsening dyspnea.
What is the most likely diagnosis based on the ECG? Pulmonary hypertension Pulmonary embolus Pericardial tamponade Pericarditis
Pericardial tamponade
A late 30's male presented with fever, sore throat, headache, vomiting, and body aches ("bones hurting") for 2 days. He presented to the ED because he developed sudden severe, sharp, pleuritic (but not positional), substernal and left mid to lower chest pain. Based on this ECG, what is the most likely cause of his symptoms?
LAD occlusion
Left ventricular hypertrophy
Pericarditis
Myocarditis
Myocarditis
A middle-aged male with PMH significant for atrial fibrillation, cocaine use, DM, HTN, hyperlipidemia, and previous MI that was related to cocaine presented for 5 days of intermittent left-sided chest pain. Today he has been experiencing episodes of breathlessness and pre-syncope. This is his presenting ECG while asymptomatic.
What is the most likely cause of the patient’s symptoms based on changes noted on this ECG? VT/VF Complete heart block SVT Hypothermia
Complete heart block
An 86-year-old with prior history of CAD and PCI, pacemaker, hypertension, presents with sudden onset mid back pain radiating to the left shoulder and chest. His vital signs were within normal limits except for tachypnea at 22/min.
Which of the following can be seen on this ECG. Select all that apply. WPW Ventricular paced rhythm Pericarditis Inferolateral aMI
Ventricular paced rhythm
Inferolateral aMI
An 80 something year old man with history of metastatic cancer had acute onset of chest pain and called 911. The ECG shows which of the following? Brugada syndrome Anterior STEMI with RBBB Pericarditis with RBBB RBBB with no ischemia
Anterior STEMI with RBBB
This is a young man who has had chest pain and dyspnea with exertion for years. He presented to the ED with these symptoms again. On this occasion, the CP was associated with stress and accompanied by some SOB, 7/10 at it’s worse and made worse with activity, with radiation up into the left side of his neck and face. No PMHx.
What is the most likely diagnosis based on this ECG?
a) LAD occlusion
b) Benign early repolarization
c) Hypertrophic cardiomyopathy
d) Arrhythmogenic right ventricular dysplasia
c) Hypertrophic cardiomyopathy
