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Play the Rhythm and (Avoid Code) Blues: ECG Subtleties and New Approaches that Change Management - On Demand 2026
Millimeters on an ECG can flip your plan. In this case-driven, on-demand update, you’ll review subtle patterns—occlusion MI without STEMI criteria, T-wave inversion from repolarization, MAT masquerading as AF, and artifacts mimicking VT—so you can recognize what’s real, differentiate mimics, understand QTc prolonged only by a wide QRS, and apply micro-skills at the bedside to make faster, safer decisions.
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Availability
On-Demand
Expires on Apr 05, 2029
Credit Offered
0.75 CME Credit
0.75 ABIM-MOC Point
0.75 Participation Credit
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Learning Objectives
After completing this activity, learners should be able to:
  1. Recognize relative safety of QTc-prolonging medications when the QTc is prolonged solely because of a prolonged QRS
  2. Recognize common patterns of coronary occlusion that do not fit STEMI criteria
  3. Differentiate T-wave inversion due to “repolarization abnormality” from changes due to ischemia
  4. Differentiate multifocal atrial tachycardia from atrial fibrillation to avoid unnecessary anticoagulation
  5. Recognize when motion or other artifacts are mimicking VT on telemetry
Faculty
  • Zaven Sargsyan, MD
  • Stephanie Sherman, MD
Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.
CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Credit Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75  MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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