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A 46-year-old African American male presented to the ER with severe chest pain. Patient woke up in the morning complaining pressure and tightness across the chest rated 9/10. His blood...
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2025-07-16T14:00:52+0000
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1 comments
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Fathi Ali
a) Proximal LAD lesion.
b) Left main disease.
c) Multivessel disease including LAD, circumflex coronary artery and right coronary artery.
d) Normal coronary arteries.
“Slow Beats, Fast Decisions: Who will Save the Day?”A 68-year-old female with past history of diabetes and hypertension as well as peripheral vascular disease with prior right limb below-knee...
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2025-07-22T12:00:05+0000
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1 comments
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Fathi Ali
a. Intervention Cardiology - cardiac catheterization to address critical ischemia.
b. Nephrology -emergency hemodialysis.
c. Pulmonary and critical care - pulmonary embolus with multi organ failure.
d. Psychiatry - tricyclic antidepressant overdose.
e. Palliative care - advanced cancer.
Focal STEMI!A 61 year-old-male with family h/o CAD. Presented to ED with 30 min of left sided chest pain radiates to the left shoulder. EKG on arrival shown.Initial hs-cTnT: 7 and 1-hr later...
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2025-09-09T12:42:13+0000
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1 comments
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Fathi Ali
Proximal left anterior descending artery (LAD)
First Diagonal branch
Large obtuse marginal branch
Right coronary artery
This EKG was done on a 37-year-old male who was in the ER for a noncardiac problem.What is the rhythm diagnosis?
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2025-05-09T20:42:12+0000
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2 comments
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Fathi Ali
Sinus tachycardia with PACs.
Sinus arrhythmias.
Atrial tachycardia with occasional sinus beats.
Sinus tachycardia with blocked PACs
Atrial fibrillation/flutter
75-year-old woman, ICU day 2 post-MI with LAD PCI. She’s asymptomatic — but telemetry flags a “run of NSVT.”The nurse asks a sharp question:“It’s not that fast, and it’s slightly irregular — could...
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2025-10-06T15:28:03+0000
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1 comments
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Fathi Ali
a- QRS is too wide to be SVT.
b- Ventricle appears to drive the atrium.
c- There are signs of AV dissociation.
d- Nothing, based on this strip alone you cannot tell if this was VT or SVT with aberrancy.
A 41-year-old lady who presented with syncope. In the emergency room, her high sensitivity troponin went from 48 to 183 in 1 hour. She reported mild shortness of breath and chest pain on...
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2025-11-05T14:17:42+0000
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1 comments
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Scrubdin Team
Ischemia
Arrhythmia
Mechanical interruption of circulation
Vasovagal
A 74-year-old woman presents to the ED with an irregular pulse and bradycardia.What is causing her bradycardia?
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2025-12-02T14:03:39+0000
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Fathi Ali
a-Atrial fibrillation
b-Extrasystole
c-Second degree AV block, type 1 (Wenckebach)
d-Second degree AV block, type 2 (Non-Wenckebach)
e-Third degree AV block
13-19
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