ECG of the Week - 29th December 2014

This week's ECG's are not examples of subtly but do highlight the need to repeat ECG's when things change. These ECG's are form a 40 yr old male who presented with a history of chest pain. 

ECG of the Week - 22nd December 2014 - Interpretation

I'd like to wish all our readers and blogging team a Happy Christmas.

This week's ECG is from a 36yr old male. He presented to the Emergency Department with a non-cardiac issue but an ECG was performed due to a pre-existing cardiac history.
Thanks to Dr Fiona Beattie was sharing this ECG case.
Check out the comments from our original post here.

ECG of the Week - 22nd December 2014

This week's ECG is from a 36yr old male. He presented to the Emergency Department with a non-cardiac issue but an ECG was performed due to a pre-existing cardiac history.
Thanks to Dr Fiona Beattie was sharing this ECG case.

ECG of the Week - 15th December 2014 - Interpretation

This week's ECG is from a 76yr old male who presented to the Emergency Department following an episode of syncope at home. He has a past history of ischaemic cardiac disease, prior CABG and hypertension. He reported no chest pain pre- or post-event, nil recent symptoms and 'was back to normal' when reviewed in the ED. His medications were aspirin, low dose slow release calcium channel blocker and clopidogrel. All vital signs were within normal limits. 
Check out the comments from our original post here.
His ECG is below:

ECG of the Week - 15th December 2014

This week's ECG is from a 76yr old male who presented to the Emergency Department following an episode of syncope at home. He has a past history of ischaemic cardiac disease, prior CABG and hypertension. He reported no chest pain pre- or post-event, nil recent symptoms and 'was back to normal' when reviewed in the ED. His medications were aspirin, low dose slow release calcium channel blocker and clopidogrel. All vital signs were within normal limits. His ECG is below:

ECG of the Week - 8th December 2014 - Interpretation

This ECG is from a 45 yr old male presenting with 3 days of chest pain. He has no significant past medical history.
Check out the comments from our original post here.

ECG of the Week - 8th December 2014

This ECG is from a 45 yr old male presenting with 3 days of chest pain. He has no significant past medical history.

ECG of the Week - 1st December 2014 - Interpretation

This ECG is from a 23 yr old female. She presented to the Emergency Department feeling generally unwell. She is a known Type 1 Diabetic.
Check out the comments from our original post here.

ECG of the Week - 1st December 2014

This ECG is from a 23 yr old female. She presented to the Emergency Department feeling generally unwell. She is a known Type 1 Diabetic.

ECG of the Week - 24th November 2014 - Interpretation

This is one of the oldest ECG's I have in my collection and as such I don't have any clinical information on the case other then it's from a 90 yr old female. 
So why do we think she ended up in the Emergency Department based on the ECG ? 
Check out the comments on our original post here.

ECG of the Week - 24th November 2014

This is one of the oldest ECG's I have in my collection and as such I don't have any clinical information on the case other then it's from a 90 yr old female. 
So why do we think she ended up in the Emergency Department based on the ECG ? 

ECG of the Week - 17th November 2014 - Interpretation

This ECG is from a fit & well 17 yr old male who presented to the Emergency Department with chest pain following a minor chest wall injury. Clinical examination revealed local chest wall tenderness at the site of trauma. Vital signs - BP, RR, Sats, Temp - were within normal limits. Chest x-ray was unremarkable and the pain resolved with simple analgesia. His 'routine' ECG is below.
Check out the comments from our original post here.

ECG of the Week - 17th November 2014

This ECG is from a fit & well 17 yr old male who presented to the Emergency Department with chest pain following a minor chest wall injury. Clinical examination revealed local chest wall tenderness at the site of trauma. Vital signs - BP, RR, Sats, Temp - were within normal limits. Chest x-ray was unremarkable and the pain resolved with simple analgesia. His 'routine' ECG is below.

ECG of the Week - 10th November 2014 - Interpretation

This ECG is from an 89 yr old female who presented with a week's history of feeling generally unwell and episodic pre-syncope over the prior 24 hours. 
Vital signs: BP 168/67 GCS 15 Sats 96% RA Temp 36.4 C (97.5 F)
Check out the comments on our original post here.

ECG of the Week - 10th November 2014

This ECG is from an 89 yr old female who presented with a week's history of feeling generally unwell and episodic pre-syncope over the prior 24 hours. 
Vital signs: BP 168/67 GCS 15 Sats 96% RA Temp 36.4 C (97.5 F)

ECG of the Week - 3rd November 2014 - Interpretation

These ECG's are from a 56 yr old male who present with 2 hours of chest pain. Past history of hypertension and smoking. The ECG's were performed 15 mins apart with ongoing chest pain.
Check out the comments on our original post here.

ECG of the Week - 3rd November 2014

These ECG's are from a 56 yr old male who present with 2 hours of chest pain. Past history of hypertension and smoking. The ECG's were performed 15 mins apart with ongoing chest pain.

ECG of the Week - 27th October 2014 - Interpretation

This ECG is from a 70 yr old male who presented complaining of dysponea and cough.
I'm sorry for the quality of this ECG, it's a copy of a copy which has then been scanned. I've elected to include it on the blog as I think it's a nice ECG example despite the poor quality.
Check out the comments from our original post here.

ECG of the Week - 27th October 2014

This ECG is from a 70 yr old male who presented complaining of dysponea and cough.
I'm sorry for the quality of this ECG, it's a copy of a copy which has then been scanned. I've elected to include it on the blog as I think it's a nice ECG example despite the poor quality.

ECG of the Week - 20th October 2014 - Interpretation

This ECG is from a 70 yr old male who presented with general lethargy and postural dizziness. He has a collapse the evening prior and recently had a diarrhoeal illness.
His medications include warfarin, metoprolol, frusemide, allopurinol, colchicine and digoxin.
Check out the comments from our original post here.

ECG of the Week - 20th October 2014

This ECG is from a 70 yr old male who presented with general lethargy and postural dizziness. He has a collapse the evening prior and recently had a diarrhoeal illness.
His medications include warfarin, metoprolol, frusemide, allopurinol, colchicine and digoxin.

ECG of the Week - 13th October 2014 - Interpretation

This ECG is from a 45 yr old female. She presented with abdominal pain and vomiting. Investigations revealed an acute small bowel obstruction. Prior to admission to the ward a 'routine' ECG was performed and is below.
Check out the comments from our original post here.

ECG of the Week - 13th October 2014

This ECG is from a 45 yr old female. She presented with abdominal pain and vomiting. Investigations revealed an acute small bowel obstruction. Prior to admission to the ward a 'routine' ECG was performed and is below.

ECG of the Week - 6th October 2014 - Interpretation

These ECG's are from a 55 yr old female who presented with an hour of chest pain. She was a smoker and on treatment for hypercholesterolaemia.
Check out the comments on our original post here.

ECG of the Week - 6th October 2014

These ECG's are from a 55 yr old female who presented with an hour of chest pain. She was a smoker and on treatment for hypercholesterolaemia.

ECG of the Week - 29th September 2014 - Interpretation

This week's ECG is from a 60 yr old male who presented with 3 days of vomiting & diarrhoea.
Past medical history of hypertension and mild chronic renal impairment.
Thanks to Dr Anand Senthi for sharing this ECG case.
Check out the comments from our original post here.

ECG of the Week - 29th September 2014

This week's ECG is from a 60 yr old male who presented with 3 days of vomiting & diarrhoea.
Past medical history of hypertension and mild chronic renal impairment.
Thanks to Dr Anand Senthi for sharing this ECG case.

ECG of the Week - 22nd September 2014 - Interpretation

Sorry but I don't have any clinical information on this ECG at all but that hasn't stopped us before.

So what's going on here ?

Check out the great discussion on this ECG in the comments section from our original post.

ECG of the Week - 22nd September 2014

Sorry but I don't have any clinical information on this ECG at all but that hasn't stopped us before.

So what's going on here ?

ECG of the Week - 15th September 2014 - Interpretation

This week's ECG is an old one from my collection.
It's from a 75yr old female. I don't have any other clinical information on this case unfortunately.

ECG of the Week - 15th September 2014

This week's ECG is an old one from my collection.
It's from a 75yr old female. I don't have any other clinical information on this case unfortunately.

ECG of the Week - 8th September 2014 - Interpretation

This week's ECG is from a 75 yr old female. Past medical history of GORD. She presented complaining of 3 hours of epigastric pain with severe nausea and multiple episodes of vomiting.

ECG of the Week - 8th September 2014

This week's ECG is from a 75 yr old female. Past medical history of GORD. She presented complaining of 3 hours of epigastric pain with severe nausea and multiple episodes of vomiting.

ECG of the Week - 1st September 2014 - Interpretation

This ECG is from a 68 yr old male. He was 2  months post pacemaker insertion for sinus node dysfunction and presented following an episode of syncope.

ECG of the Week - 1st September 2014

This ECG is from a 68 yr old male. He was 2  months post pacemaker insertion for sinus node dysfunction and presented following an episode of syncope.

ECG of the Week - 25th August 2014 - Interpretation

This ECG is from a 45 yr old male presenting to the Emergency Department following an episode of chest pain. He was pain  free when this ECG was recorded.

Check out the comments from our original post here.

ECG of the Week - 25th August 2014

This ECG is from a 45 yr old male presenting to the Emergency Department following an episode of chest pain. He was pain  free when this ECG was recorded.

ECG of the Week - 18th August 2014 - Interpretation

This ECG is from a 25 yr old male presenting with 3 days of sharp central chest pain.

Check out the comments on our original post here.

ECG of the Week - 18th August 2014

This ECG is from a 25 yr old male presenting with 3 days of sharp central chest pain.

ECG of the Week - 11th August 2014 - Interpretation

This ECG is from an 80 yr old male who presented with a 1 weeks worth of chest pain.
Complex past medical history with significant cognitive impairment. Multiple medications but nil sodium channel blocking agents.
Check out the comments on our original post here.

ECG of the Week - 11th August 2014

This ECG is from an 80 yr old male who presented with a 1 weeks worth of chest pain.
Complex past medical history with significant cognitive impairment. Multiple medications but nil sodium channel blocking agents.

ECG of the Week - 4th August 2014 - Interpretation

This week's ECG is from an 80 yr old patient presenting with chest pain.
History of recent PPM insertion for tachy/brady syndrome.
Check out the comments on our original post here.

ECG of the Week - 4th August 2014

This week's ECG is from an 80 yr old patient presenting with chest pain.
History of recent PPM insertion for tachy/brady syndrome.

ECG of the Week - 28th July 2014 - Interpretation

This week's ECG is from a 29 yr old male who presented complaining of vomiting, dizziness and felling 'vague'. 
You can check out his venous blood gas over at Emergucate's Lab Case 28 here.
Check out the comments on our original post here.

ECG of the Week - 28th July 2014

This week's ECG is from a 29 yr old male who presented complaining of vomiting, dizziness and felling 'vague'. 
You can check out his venous blood gas over at Emergucate's Lab Case 28 here.

ECG of the Week - 21st July 2014 - Interpretation

This ECG is from a 50 yr old male who presented complaining of productive cough and fever for 2 days.
Check out the comments on this case in our original post here.

ECG of the Week - 21st July 2014

This ECG is from a 50 yr old male who presented complaining of productive cough and fever for 2 days.

ECG of the Week - 14th July 2014 - Interpretation

This week's ECG is from a 67 yr old male who presents with 2 hours of chest pain with associated dysponea and nausea.
Check out the comments on the original post here.

ECG of the Week - 14th July 2014

This week's ECG is from a 67 yr old male who presents with 2 hours of chest pain with associated dysponea and nausea.

ECG of the Week - 7th July 2014 - Interpretation

This week's ECG comes from the same patient as last weeks case (ECG of the Week - 30th June). You'll remember we had a 70yr old male who presented with chest pain, palpitations and hypotension. He underwent DC cardioversion and this is his post cardioversion ECG.
Check out the comments on our original post here.

ECG of the Week - 7th July 2014

This week's ECG comes from the same patient as last weeks case (ECG of the Week - 30th June). You'll remember we had a 70yr old male who presented with chest pain, palpitations and hypotension. He underwent DC cardioversion and this is his post cardioversion ECG.

ECG of the Week - 30th June 2014 - Interpretation

This ECG is from a 70yr old male who presented with chest pain and palpitations.
Vital signs: BP 85/64 RR 20 Sats 98% on 10L/min.
I don't have any more information on the patient's past medical history or current medication.
Check out the comments on our original post here.

ECG of the Week - 30th June 2014

This ECG is from a 70yr old male who presented with chest pain and palpitations.
Vital signs: BP 85/64 RR 20 Sats 98% on 10L/min.
I don't have any more information on the patient's past medical history or current medication.

ECG of the Week - 23rd June 2014 - Interpretation

This ECG is from a 10yr old boy who presented with mild dysponea.
Wheeze at home treated with inhaler. Past medical history of mild asthma, nil developmental concerns. Only medication is salbutamol inhaler PRN.
Vitals signs: BP 105/60 RR 20 T 36.4 Sats 99%
Check out the comments from our original post here.

ECG of the Week - 23rd June 2014

This ECG is from a 10yr old boy who presented with mild dysponea.
Wheeze at home treated with inhaler. Past medical history of mild asthma, nil developmental concerns. Only medication is salbutamol inhaler PRN.
Vitals signs: BP 105/60 RR 20 T 36.4 Sats 99%

ECG of the Week - 16th June 2014 - Interpretation

This is one of the older ECG's in my collection and I don't have any clinical information on the case other than it's from an 82yr old patient.
Check out the comments from our original post here.

ECG of the Week - 16th June 2014

This is one of the older ECG's in my collection and I don't have any clinical information on the case other than it's from an 82yr old patient.

ECG of the Week - 9th June 2014 - Interpretation

This week's ECG is from a 50 year old male who presents with several days of intermittent chest pain. Nil significant past medical history. This ECG was performed whilst the patient had chest pain.
Check out the comments on our original post here.

ECG of the Week - 9th June 2014

This week's ECG is from a 50 year old male who presents with several days of intermittent chest pain. Nil significant past medical history. This ECG was performed whilst the patient had chest pain.

ECG of the Week - 2nd June 2014 - Interpretation

This ECG is from a 65 yr old female who presented to the Emergency Department complaining of chest pain.
Check out the comments on our original post here.

ECG of the Week - 2nd June 2014

This ECG is from a 65 yr old female who presented to the Emergency Department complaining of chest pain.

ECG of the Week - 26th May 2014 - Interpretation

These ECGs are from a 60 yr old male who presented with 2 hours of chest pain. Previously fit and well. No regular medications.
These serial ECGs were performed over a 20-30 minute time frame. The first three ECGs were performed whilst chest pain was ongoing with the final ECG performed with the patient pain free.
Check out the extensive discussion on this week's case in the comments section here.

ECG of the Week - 26th May 2014

These ECGs are from a 60 yr old male who presented with 2 hours of chest pain. Previously fit and well. No regular medications.
These serial ECGs were performed over a 20-30 minute time frame. The first three ECGs were performed whilst chest pain was ongoing with the final ECG performed with the patient pain free.

ECG of the Week - 19th May 2014 - Interpretation

This ECG is from a 40 yr old female with sepsis. The patient was intubated and requiring vasopressor support. Prior to this illness the patient was fit and well.
Thanks to Dr Nat for sharing this ECG.
Check out the comments on our original post here.

ECG of the Week - 19th May 2014

This ECG is from a 40 yr old female with sepsis. The patient was intubated and requiring vasopressor support.  Prior to this illness the patient was fit and well.
Thanks to Dr Nat for sharing this ECG.

ECG of the Week - 12th May 2014 - Interpretation

One of the old ECG's in my collection, no clinical information on this one.

Check out the comments on our original post here.

ECG of the Week - 12th May 2014

One of the old ECG's in my collection, no clinical information on this one.

ECG of the Week - 5th May 2014 - Interpretation

This ECG is from a 70 yr old male who presented complaining of palpitations for the last few hours, I managed to get a bit more information and the patient also complained of chest pain for a similar duration.
Check out the comments from our original post here.

ECG of the Week - 5th May 2014

This ECG is from a 70 yr old male who presented complaining of palpitations for the last few hours. I don't have any further clinical history on the case, sorry.

ECG of the Week - 28th April 2014 - Interpretation

This week's ECG is from a 75 yr old female with a histroy of ischaemia heart disease.
She presented complaining of palpitations and dysponea. Clinical examination finding were consistent with cardiac failure.
Check out the comments from our original post here.

ECG of the Week - 28th April 2014

This week's ECG is from a 75 yr old female with a histroy of ischaemia heart disease.
She presented complaining of palpitations and dysponea. Clinical examination finding were consistent with cardiac failure.

ECG of the Week - 21st April 2014 - Interpretation

This week's ECG is from a 58yr old male brought in by ambulance following a polypharmacy overdose. 

Vital signs - BP 104/75 RR 9 T 37.2 Sats 96% GCS 6 (E=1 M=4 V=1 ) BSL 5.9

Check out the comments from our original post here.

ECG of the Week - 21st April 2014

This week's ECG is from a 58yr old male brought in by ambulance following a polpharmacy overdose. 

Vital signs - BP 104/75 RR 9 T 37.2 Sats 96% GCS 6 (E=1 M=4 V=1 ) BSL 5.9

ECG of the Week - 14th April 2014 - Interpretation

This ECG is from a 67yr old male. He had no cardiac history and presented following a minor fall whilst intoxicated.
Someone will likely ask why the ECG was performed, I don't know. I suspect it is one of the 'because we can' ECGs that we all see on a daily basis.
You can see the comments on our original post here.

ECG of the Week - 14th April 2014

This ECG is from a 67yr old male. He had no cardiac history and presented following a minor fall whilst intoxicated. 
Someone will likely ask why the ECG was performed, I don't know. I suspect it is one of the 'because we can' ECGs that we all see on a daily basis.

ECG of the Week - 7th April 2014 - Interpretation


This week's ECG is from a 14yr old female who presents following an episode of palpitations and associated dizziness.
Check out the comments on our original post here.

 

 

ECG of the Week - 7th April 2014

This week's ECG is from a 14yr old female who presents following an episode of palpitations and associated dizziness.

ECG of the Week - 31st March 2014 - Interpretation

The following is a rhythm strip from a 77yr old male. He has a history of hypertension and hypercholesterolaemia. He complained of chest pain during this ECG recording.
Check out the comments from our original post here.

ECG of the Week - 31st March 2014

The following is a rhythm strip from a 77yr old male. He has a history of hypertension and hypercholesterolaemia. He complained of chest pain during this ECG recording.

ECG of the Week - 24th March 2014 - Interpretation

Another old case from my collection. I don't have any clinical information on the patient or clinical presentation.
Check out the comments on our original post here.

ECG of the Week - 24th March 2014

Another old case from my collection. I don't have any clinical information on the patient or presentation.

ECG of the Week - 17th March 2014 - Interpretation

This is one of the older ECG's in my collection. I don't have any clinical information but it's safe to say the patient complained of chest pain.
Check out the comments on our original post here.

ECG of the Week - 17th March 2014

This is one of the older ECG's in my collection. I don't have any clinical information but it's safe to say the patient complained of chest pain.

ECG of the Week - 10th March 2014 - Interpretation

This ECG is from a 77 year old female who presented with dysponea and palpitations. Medical history of ischaemic heart disease. Clinical examination consistent with cardiac failure.
Check out the comments from the original case post here.

ECG of the Week - 10th March 2014

This ECG is from a 77 year old female who presented with dysponea and palpitations. Medical history of ischaemic heart disease. Clinical examination consistent with cardiac failure. I don't have the patient's medication list but will endeavour to get it.

ECG of the Week - 3rd March 2014 - Interpretation

This ECG is from a 70 yr old patient with a history of ischaemic heart disease complicated by ischaemic cardiomyopathy (LV ejection fraction of 27%) in has an AICD in situ. 
The patient presented with worsening dysponea without chest pain. 
His intial serial ECGs are below.

ECG of the Week - 3rd March 2014

This ECG is from a 70 yr old patient with a history of ischaemic heart disease complicated by ischaemic cardiomyopathy (LV ejection fraction of 27%) in has an AICD in situ. 
The patient presented with worsening dysponea without chest pain. 
His intial serial ECGs are below.

ECG of the Week - 24th February 2014 - Interpretation

This week's ECG is from a 62 yr old male who presented complaining of palpitations for the preceding 4 hours. No significant medical history or medications.
Check out the comments on our original post with some interesting discussion.

ECG of the Week - 24th February 2014

This week's ECG is from a 62 yr old male who presented complaining of palpitations for the preceding 4 hours. No significant medical history or medications.

ECG of the Week - 17th February 2014 - Interpretation

This ECG is from a middle aged male who presented to the Emergency Department with abdominal pain. A 'routine' ECG was performed and is below.
Check out the comments on our original post of this case here.

ECG of the Week - 17th February 2014

This ECG is from a middle aged male who presented to the Emergency Department with abdominal pain. A 'routine' ECG was performed and is below.

ECG of the Week - 10th February 2014 - Interpretation

This week's ECG is from a 39 yr old female who presented to the Emergency Department with vomiting, diarrhoea, and upper abdominal pain.
You can view the lab investigations from this patient over at our sister site Emergucate in this week's Lab Case of the Week from Dr Yusuf Mamoojee.
Check out the comments from our original post here.

ECG of the Week - 10th February 2014

This week's ECG is from a 39 yr old female who presented to the Emergency Department with vomiting, diarrhoea, and upper abdominal pain.
You can view the lab investigations from this patient over at our sister site Emergucate in this week's Lab Case of the Week from Dr Yusuf Mamoojee.

ECG of the Week - 3rd February 2014 - Interpretation

An ECG from the archives this week. Unfortunately no clinical information on this case but at a glance it looks like a nice 'rhythmic riddle'.
Check out the comments from our original post here.

ECG of the Week - 3rd February 2014

An ECG from the archives this week. Unfortunately no clinical information on this case but at a glance it looks like a nice 'rhythmic riddle'.

ECG of the Week - 27th January 2014 - Interpretation

This week's ECG is from a 51yr old who presented with a post-prandial episode of syncope and subsequent sensation of episodic pre-syncope. No relevant past medical histroy or medications.
Check out the comments from the original post here.

ECG of the Week - 27th January 2014

This week's ECG is from a 51yr old who presented with a post-prandial episode of syncope and subsequent sensation of episodic pre-syncope. No relevant past medical histroy or medications.

ECG of the Week - 20th January 2014 - Interpretation

This ECG is from a 76yr old who presented complaining of palpitations and dysponea.
Past medical history of paroxysmal atrial fibrillation and chronic smoking related lung disease.
Medications include warfarin, calcium channel blocker, and other non-cardiac related medications.
The first ECG below was performed when the patient arrived, the second ECG was performed not long after but prior to treatment being instigated.
Check out the comments on our original post here.

ECG of the Week - 20th January 2014

Two ECG's this week from a 76yr old patient who presented complaining of palpitations and dysponea.
Past medical history of paroxysmal atrial fibrillation and chronic smoking related lung disease.
Medications include warfarin, calcium channel blocker, and other non-cardiac related medications.
The first ECG below was performed when the patient arrived, the second ECG was performed not long after but prior to treatment being instigated.

ECG of the Week - 13th January 2014 - Interpretation

This week's ECG is from a 72yr old with known atrial fibrillation and a PPM in situ. He presents with several days of atypical chest pain. Medications include metoprolol, frusemide, and low molecular weight heparin (intolerant of warfarin).
Check out the comments on the original post here.

ECG of the Week - 13th January 2014

This week's ECG is from a 72yr old with known atrial fibrillation and a PPM in situ. He presents with several days of atypical chest pain. Medications include metoprolol, frusemide, and low molecular weight heparin (intolerant of warfarin).

ECG of the Week - 6th January 2014 - Interpretation

This week's case is from a 97yr old presenting with presyncope. I've included two ECG's as they were performed only 1 minute apart.
A little more information the patient presented with episodic dizziness and pre-syncope for several weeks. Only meds were an angiotensin receptor blocker and an anti-histamine. She was functionally living independently but using walking aids.
Check out the comments on our original post here.

ECG of the Week - 6th January 2014

This week's case is from a 97yr old presenting with presyncope. I've included two ECG's as they were performed only 1 minute apart.
A little more information the patient presented with episodic dizziness and pre-syncope for several weeks. Only meds were an angiotensin receptor blocker and an anti-histamine. She was functionally living independently but using walking aids.

ECG of the Week - 30th December 2013 - Interpretation

The next ECG follows on the case of our patient from last week.
Following an out-of-hospital cardiac arrest the patient presented with ROSC.
The initial ECG on Emergency Department presentation can be found here.
Following initial treatment with iv adrenaline infusion, external pacing, a transvenous pacing wire was placed.
The resultant ECG is below.