This ECG is from a 14 yr old female who presented with pleuritic left sided chest pain for 2 days. She is normally fit & well.
Check out the comments from our original post here.
A weekly ECG / EKG review blog looking at some interesting ECG's from the world of Emergency Medicine. #FOAMed Supporter
Wednesday, 30 December 2015
Saturday, 26 December 2015
ECG of the Week - 28th December 2015
This ECG is from a 14 yr old female who presented with pleuritic left sided chest pain for 2 days. She is normally fit & well.
ECG of the Week - 21st December 2015 - Interpretation
This ECG is from a 40 yr old male who presented with hypertension.
Friday, 18 December 2015
ECG of the Week - 21st December 2015
This ECG is from a 40 yr old male who presented with hypertension.
Wednesday, 16 December 2015
ECG of the Week - 14th December 2015 - Interpretation
The following ECG is from a 50 yr old female who presented with multiple complaints including dysponea, joint pain, abdominal pain and chest pain.
Check out the comments from our original post here.Friday, 11 December 2015
ECG of the Week - 14th December 2015
The following ECG is from a 50 yr old female who presented with multiple complaints including dysponea, joint pain, abdominal pain and chest pain.
Wednesday, 9 December 2015
ECG of the Week - 7th December 2015 - Interpretation
This ECG series is from a 35 yr old male who presented complaining of feeling generally unwell for the preceding 24 hours.
Friday, 4 December 2015
ECG of the Week - 7th December 2015
This ECG series is from a 35 yr old male who presented complaining of feeling generally unwell for the preceding 24 hours.
Wednesday, 2 December 2015
ECG of the Week - 30th November 2015 - Interpretation
These ECG's are from a 47 yr old male who present with a 1 month history of intermittent palpitations and pre-syncope. He had a prior MI several years ago and has a stent in-situ.
Friday, 27 November 2015
ECG of the Week - 30th November 2015
These ECG's are from a 47 yr old male who present with a 1 month history of intermittent palpitations and pre-syncope. He had a prior MI several years ago and has a stent in-situ.
ECG of the Week - 23rd November 2015 - Interpretation
This ECG is from a 75 yr old male who presented complaining of lethargy, nausea and shortness of breath. You have no old ECG's for comparison.
Friday, 20 November 2015
ECG of the Week - 23rd November 2015
This ECG is from a 75 yr old male who presented complaining of lethargy, nausea and shortness of breath. You have no old ECG's for comparison.
ECG of the Week - 16th November 2015 - Interpretation
The following ECG is from a 67 yr old with chest pain for the last hour.
Friday, 13 November 2015
ECG of the Week - 16th November 2015
The following ECG is from a 67 yr old with chest pain for the last hour.
Thursday, 12 November 2015
ECG of the Week - 9th November 2015 - Interpretation
This ECG is from a 55 yr old male who presents with several weeks of intermittent dizziness. He has an implanted loop recorder (ILR) in-situ and is under cardiological investigation for these episodes.
Saturday, 7 November 2015
ECG of the Week - 9th November 2015
This ECG is from a 55 yr old male who presents with several weeks of intermittent dizziness. He has an implanted loop recorder (ILR) in-situ and is under cardiological investigation for these episodes.
Wednesday, 4 November 2015
ECG of the Week - 2nd November 2015 - Interpretation
The following ECG is from a 66 yr old female who presented to the Emergency Department complaining of palpitations. Her BP, RR, Sats and conscious level are all normal.
Friday, 30 October 2015
ECG of the Week - 2nd November 2015
The following ECG is from a 66 yr old female who presented to the Emergency Department complaining of palpitations. Her BP, RR, Sats and conscious level are all normal.
Wednesday, 28 October 2015
ECG of the Week - 26th October 2015 - Interpretation
The following ECG is from a 65 yr old male who presented with shortness of breath worsening over several months.
Saturday, 24 October 2015
ECG of the Week - 26th October 2015
The following ECG is from a 65 yr old male who presented with shortness of breath worsening over several months.
ECG of the Week - 19th October 2015 - Interpretation
This ECG is from an 80 yr old male, unfortunately I don't have any further clinical information on this case.
Friday, 16 October 2015
ECG of the Week - 19th October 2015
This ECG is from an 80 yr old male, unfortunately I don't have any further clinical information on this case.
ECG of the Week - 12th October 2015 - Interpretation
The following ECG's are from a 17 yr old male who presented with palpitations for the last hour. He is normal fit and well. He denies taking any medications or drugs.
I don't know the exact time frames between these ECG's and what treatment, if any, was instituted between them.
I don't know the exact time frames between these ECG's and what treatment, if any, was instituted between them.
Saturday, 10 October 2015
ECG of the Week - 12th October 2015
The following ECG's are from a 17 yr old male who presented with palpitations for the last hour. He is normal fit and well. He denies taking any medications or drugs.
I don't know the exact time frames between these ECG's and what treatment, if any, was instituted between them.
I don't know the exact time frames between these ECG's and what treatment, if any, was instituted between them.
Wednesday, 7 October 2015
ECG of the Week - 5th October 2015 - Interpretation
This week's ECG is from a 75 yr old male who presented with 1 hour of central chest pain.
Friday, 2 October 2015
ECG of the Week - 5th October 2015
This week's ECG is from a 75 yr old male who presented with 1 hour of central chest pain.
Wednesday, 30 September 2015
ECG of the Week - 28th September 2015 - Interpretation
This week's ECG is from a 27 yr old female who presents with weakness and lethargy.
Friday, 25 September 2015
ECG of the Week - 28th September 2015
This week's ECG is from a 27 yr old female who presents with weakness and lethargy.
ECG of the Week - 21st September 2015 - Interpretation
The following ECG is from a 70yr old who presented with lethargy. Past medical history of Aortic Valve Replacement with post operative AF. Vital signs: BP 85/60 RR 18 Sats 94% (Room Air). Check out the comments from our original post here.
Saturday, 19 September 2015
ECG of the Week - 21st September 2015
The following ECG is from a 70yr old who presented with lethargy. Past medical history of Aortic Valve Replacement with post operative AF. Vital signs: BP 85/60 RR 18 Sats 94% RA.
ECG of the Week - 14th September 2015 - Interpretation
This week's ECG is from a 19 yr old male who presented complaining of palpitations. He has no known medical history, takes no medication or illicit agents and has no history of prior palpitations.
He is alert and orientated with a normal blood pressure.
You can check out the comments on our original post here.
He is alert and orientated with a normal blood pressure.
You can check out the comments on our original post here.
Friday, 11 September 2015
ECG of the Week - 14th September 2015
This week's ECG is from a 19 yr old male who presented complaining of palpitations. He has no known medical history, takes no medication or illicit agents and has no history of prior palpitations.
He is alert and orientated with a normal blood pressure.
He is alert and orientated with a normal blood pressure.
Wednesday, 9 September 2015
ECG of the Week - 7th September 2015 - Interpretation
This week's ECG is from a 58 yr old male who presented with abdominal pain and vomiting.
He is normal fit & well and takes no medication.
He is normal fit & well and takes no medication.
Friday, 4 September 2015
ECG of the Week - 7th September 2015
This week's ECG is from a 58 yr old male who presented with abdominal pain and vomiting.
He is normal fit & well and takes no medication.
He is normal fit & well and takes no medication.
Wednesday, 2 September 2015
ECG of the Week - 31st August 2015 - Interpretation
This week's ECG is from an 11yr old male who presented with chest pain in the setting of respiratory illness.
Friday, 28 August 2015
ECG of the Week - 31st August 2015
This week's ECG is from an 11yr old male who presented with chest pain in the setting of respiratory illness.
Wednesday, 26 August 2015
ECG of the Week - 24th August 2015 - Interpretation
This ECG is from a 70 year old patient who presented to the Emergency Department complaining of progressive cough and intermittent fever. She has an extensive medical history but is unable to provide you with specific details other than she sees a cardiologist.
Check out the comments on our original post here.
Check out the comments on our original post here.
Friday, 21 August 2015
ECG of the Week - 24th August 2015
This ECG is from a 70 year old patient who presented to the Emergency Department complaining of progressive cough and intermittent fever. She has an extensive medical history but is unable to provide you with specific details other than she sees a cardiologist.
Wednesday, 19 August 2015
ECG of the Week - 17th August 2015 - Interpretation
This ECG is from an 85 year old male who presented to the Emergency Department confused and drowsy. He had a recent diarrhoeal illness and had been non-compliant with his long-term medications.
On arrival his vital signs were: SBP 85 RR 34 Sats 90% RA GCS 12.
Check out the comments from our original post here.
On arrival his vital signs were: SBP 85 RR 34 Sats 90% RA GCS 12.
Check out the comments from our original post here.
Friday, 14 August 2015
ECG of the Week - 17th August 2015
This ECG is from an 85 year old male who presented to the Emergency Department confused and drowsy. He had a recent diarrhoeal illness and had been non-compliant with his long-term medications.
On arrival his vital signs were: SBP 85 RR 34 Sats 90% RA GCS 12.
On arrival his vital signs were: SBP 85 RR 34 Sats 90% RA GCS 12.
Wednesday, 12 August 2015
ECG of the Week - 10th August 2015 - Interpretation
This ECG is from a 70 year old male who presented to the Emergency Department complaining of feeling light-headed and dizzy. Past medical history or hypertension, diabetes, chronic atrial fibrillation and chronic renal failure on dialysis. His medications included metoprolol but no digoxin.
Check out the comments from our original post here.
Check out the comments from our original post here.
Friday, 7 August 2015
ECG of the Week - 10th August 2015
This ECG is from a 70 year old male who presented to the Emergency Department complaining of feeling light-headed and dizzy. Past medical history or hypertension, diabetes, chronic atrial fibrillation and chronic renal failure on dialysis. His medications included metoprolol but no digoxin. On arrival to the ED he was GCS 15 with a BP 135/78.
Wednesday, 5 August 2015
ECG of the Week - 3rd August 2015 - Interpretation
This ECG is from a 50 year old male who presented with 2 hours of typical chest pain on a background of progressive dysponea for the preceding 2 weeks. Past medical history of hypertension, diabetes and hyperlipidaemia.
Check out the comments from our original post here.
Check out the comments from our original post here.
Friday, 31 July 2015
ECG of the Week - 3rd August 2015
This ECG is from a 50 year old male who presented with 2 hours of typical chest pain on a background of progressive dysponea for the preceding 2 weeks. Past medical history of hypertension, diabetes and hyperlipidaemia.
Wednesday, 29 July 2015
ECG of the Week - 27th July 2015 - Interpretation
This ECG is from a 28 year old female who presented complaining of intermittent pre-syncope and palpitations. She is normally fit & well and is 34 weeks pregnant.
Check out the comments from our original post here.
Check out the comments from our original post here.
Friday, 24 July 2015
ECG of the Week - 27th July 2015
This ECG is from a 28 year old female who presented complaining of intermittent pre-syncope and palpitations. She is normally fit & well and is 34 weeks pregnant.
Wednesday, 22 July 2015
ECG of the Week - 20th July 2015 - Interpretation
This ECG is from a 50 year old male who presented with 10 hours of chest pain.
Background history of hypertension and smoking.
Check out the comments from our original post here.
Background history of hypertension and smoking.
Check out the comments from our original post here.
Friday, 17 July 2015
ECG of the Week - 20th July 2015
This ECG is from a 50 year old male who presented with 10 hours of chest pain.
Background history of hypertension and smoking.
Background history of hypertension and smoking.
ECG of the Week - 13th July 2015 - Interpretation
This ECG is from a 36 year old male who presented to the Emergency Department with 8 hours of right sided chest pain.
Check out the comments from our original post here.
Check out the comments from our original post here.
Sunday, 12 July 2015
ECG of the Week - 13th July 2015
This ECG is from a 36 year old male who presented to the Emergency Department with 8 hours of right sided chest pain.
ECG of the Week - 6th July 2015 - Interpretation
The following ECG is from a 65 year old male who was brought to the Emergency Department following an out-of-hospital cardiac arrest. ROSC was achieved pre-hospital following an episode of VT. ON arrival GCS 3, intubated with sats 98%, BP 75 systolic.
Check out the comments on our original post here.
Check out the comments on our original post here.
Friday, 3 July 2015
ECG of the Week - 6th July 2015
The following ECG is from a 65 year old male who was brought to the Emergency Department following an out-of-hospital cardiac arrest. ROSC was achieved pre-hospital following an episode of VT. ON arrival GCS 3, intubated with sats 98%, BP 75 systolic.
ECG of the Week - 29th June 2015 - Interpretation
This week's ECG case is from an 83yr old male who presented to the Emergency Department with several days of atypical chest pain with negative serial biomarkers. He had no relevant past medical history and was on no medication. The first ECG was taken on arrival to the Emergency Department the second ECG was perform when it was noted his heart rate has decreased suddenly. The patient remained asymptomatic during this period with normal conscious level, normal blood pressure and no chest pain or dysponea.
Check out the comments from our original post here.
Check out the comments from our original post here.
Friday, 26 June 2015
ECG of the Week - 29th June 2015
This week's ECG case is from an 83yr old male who presented to the Emergency Department with several days of atypical chest pain with negative serial biomarkers. He had no relevant past medical history and was on no medication. The first ECG was taken on arrival to the Emergency Department the second ECG was perform when it was noted his heart rate has decreased suddenly. The patient remained asymptomatic during this period with normal conscious level, normal blood pressure and no chest pain or dysponea.
ECG of the Week - 22nd June 2015 - Interpretation
This ECG is from a 75 year old female who presented with 1 hour of central chest pain.
She had recently been hospitalized for a NSTEMI and had 2 drug-eluting stents inserted to her mid RCA.
Check out the comments from our original post here.
She had recently been hospitalized for a NSTEMI and had 2 drug-eluting stents inserted to her mid RCA.
Check out the comments from our original post here.
Saturday, 20 June 2015
ECG of the Week - 22nd June 2015
This ECG is from a 75 year old female who presented with 1 hour of central chest pain.
She had recently been hospitalized for a NSTEMI and had 2 drug-eluting stents inserted to her mid RCA.
She had recently been hospitalized for a NSTEMI and had 2 drug-eluting stents inserted to her mid RCA.
ECG of the Week - 15th June 2015 - Interpretation
This week's ECG is from an 82 yr old male who presented with worsening heart failure.
Friday, 12 June 2015
ECG of the Week - 15th June 2015
This week's ECG is from an 82 yr old male who presented with worsening heart failure.
Wednesday, 10 June 2015
ECG of the Week - 8th June 2015 - Interpretation
Two ECG's for this week's case. They are from a 59 yr old female with a history of IHD, prior stents to LAD and non-compliance with anti-platelet therapy. She presented following a bee sting with dysponea, urticaria and a brief episode of chest pain. The ECG's below were performed 20 minutes apart.
Check out the comments on our original post here.
Check out the comments on our original post here.
Friday, 5 June 2015
ECG of the Week - 8th June 2015
Two ECG's for this week's case. They are from a 59 yr old female with a history of IHD, prior stents to LAD and non-compliance with anti-platelet therapy. She presented following a bee sting with dysponea, urticaria and a brief episode of chest pain. The ECG's below were performed 20 minutes apart.
Thursday, 4 June 2015
ECG of the Week - 1st June 2015 - Interpretation
This week's ECG is from a 65 yr old who presented with palpitations for several hours. Past history of paroxysmal atrial fibrillation. We have two tracing to review - the first is a standard 12-lead ECG and the second is a lead I rhythm strip using a Lewis lead configuration but at standard calibration (10mm/mV & 25mm/s).
Check out the comments on our original post here.
Check out the comments on our original post here.
Saturday, 30 May 2015
ECG of the Week - 1st June 2015
This week's ECG is from a 65 yr old who presented with palpitations for several hours. Past history of paroxysmal atrial fibrillation. We have two tracing to review - the first is a standard 12-lead ECG and the second is a lead I rhythm strip using a Lewis lead configuration but at standard calibration (10mm/mV & 25mm/s).
Wednesday, 27 May 2015
ECG of the Week - 25th May 2015 - Interpretation
I don't have any clinical information on this case unfortunately. I think at first glance it's not a very interesting ECG but on closer inspection is a bit more interesting.
Check out the comments on our original post here.
Check out the comments on our original post here.
Saturday, 23 May 2015
ECG of the Week - 25th May 2015
I don't have any clinical information on this case unfortunately. I think at first glance it's not a very interesting ECG but on closer inspection is a bit more interesting.
ECG of the Week - 18th May 2015 - Interpretation
This ECG is from a 65yr old male. He presented to the Emergency Department feeling generally unwell for 1 week with subjective fevers and night sweats. He had episodic dysponea and myalgia. He denied any chest pain during this illness. He had a previous episode of paroxysmal atrial fibrillation.
He was afebrile at presentation with a blood pressure of 85mmHg systolic.
Check out the comments on our original post here.
He was afebrile at presentation with a blood pressure of 85mmHg systolic.
Check out the comments on our original post here.
Friday, 15 May 2015
ECG of the Week - 18th May 2015
This ECG is from a 65yr old male. He presented to the Emergency Department feeling generally unwell for 1 week with subjective fevers and night sweats. He had episodic dysponea and myalgia. He denied any chest pain during this illness. He had a previous episode of paroxysmal atrial fibrillation.
He was afebrile at presentation with a blood pressure of 85mmHg systolic.
He was afebrile at presentation with a blood pressure of 85mmHg systolic.
ECG of the Week - 11th May 2015 - Interpretation
This ECG is from a 35yr old female who presented to the Emergency Department complaining of right sided sharp chest pain for the last 7 hours. Vital signs are all within normal limits. She has no relevant past medical or family history.
Check out the comments on our original post here.
Check out the comments on our original post here.
Saturday, 9 May 2015
ECG of the Week - 11th May 2015
This ECG is from a 35yr old female who presented to the Emergency Department complaining of right sided sharp chest pain for the last 7 hours. Vital signs are all within normal limits. She has no relevant past medical or family history.
ECG of the Week - 4th May 2015 - Interpretation
This week's ECG is from a 70 yr old male who presented following an episode of syncope.
Nil significant medical history or medications. He complained of light-headiness at the time of clinical review. BP, Sats, RR, temp and BSL were all within normal limits.
Check out the comments on our original post here.
Nil significant medical history or medications. He complained of light-headiness at the time of clinical review. BP, Sats, RR, temp and BSL were all within normal limits.
Check out the comments on our original post here.
Sunday, 3 May 2015
ECG of the Week - 4th May 2015
This week's ECG is from a 70 yr old male who presented following an episode of syncope.
Nil significant medical history or medications. He complained of light-headiness at the time of clinical review. BP, Sats, RR, temp and BSL were all within normal limits.
Nil significant medical history or medications. He complained of light-headiness at the time of clinical review. BP, Sats, RR, temp and BSL were all within normal limits.
ECG of the Week - 27th April 2015 - Interpretation
Some old ECG's from my collection for this week. These ECG's are from an 80 yr old female who presented with pre-syncope. The three ECG's were performed over the course of an hour. Check out the comments on our original post here.
Saturday, 25 April 2015
ECG of the Week - 27th April 2015
Some old ECG's from my collection for this week. These ECG's are from an 80 yr old female who presented with pre-syncope. The three ECG's were performed over the course of an hour.
ECG of the Week - 20th April 2015 - Interpretation
This week's ECG is form a 73 yr old male who presented to the Emergency Department complaining of 10+ hours of chest pain, sore throat, cough and dysponea. He has an AICD in situ and known cardiomyopathy (EF 25%). Vital signs were within normal limits.
Check out the comments on our original post here.
Check out the comments on our original post here.
Sunday, 19 April 2015
ECG of the Week - 20th April 2015
This week's ECG is form a 73 yr old male who presented to the Emergency Department complaining of 10+ hours of chest pain, sore throat, cough and dysponea. He has an AICD in situ and known cardiomyopathy (EF 25%). Vital signs were within normal limits.
ECG of the Week - 13th April 2015 - Interpretation
This ECG is from an 89 yr old male with multiple co-morbidities including cognitive impairment, cardiac failure and diabetes. He presented to the Emergency Department with several hours of chest pain and has a PPM in-situ for an unknown indication.
Check out the comments on our original post here.
Check out the comments on our original post here.
Saturday, 11 April 2015
ECG of the Week - 13th April 2015
This ECG is from an 89 yr old male with multiple co-morbidities including cognitive impairment, cardiac failure and diabetes. He presented to the Emergency Department with several hours of chest pain and has a PPM in-situ for an unknown indication.
ECG of the Week - 6th April 2015 - Interpretation
This week's ECG is from a 32yr old female with a history of palpitations. She takes flecanide and verapamil. She presents to the Emergency Department complaining of palpitations for the last few hours. She is conscious, denies chest pain or dysponea and her blood pressure is normal.
Check out the comments on our original post here.
Check out the comments on our original post here.
Saturday, 4 April 2015
ECG of the Week - 6th April 2015
This week's ECG is from a 32yr old female with a history of palpitations. She takes flecanide and verapamil. She presents to the Emergency Department complaining of palpitations for the last few hours. She is conscious, denies chest pain or dysponea and her blood pressure is normal.
ECG of the Week - 30th March 2015 - Interpretation
This ECG is from an 80 yr old male who presented to the Emergency Department feeling generally unwell for the preceding 10 hours ! He denied chest pain, dysponea or syncope. He had a history of paroxysmal atrial fibrillation and had a single chamber PPM in-situ for bradycardia. Vital signs were within normal limits.
Check out the comments form our original post here.
Check out the comments form our original post here.
Sunday, 29 March 2015
ECG of the Week - 30th March 2015
This ECG is from an 80 yr old male who presented to the Emergency Department feeling generally unwell for the preceding 10 hours ! He denied chest pain, dysponea or syncope. He had a history of paroxysmal atrial fibrillation and had a single chamber PPM in-situ for bradycardia. Vital signs were within normal limits.
Wednesday, 25 March 2015
ECG of the Week - 23rd March 2015 - Interpretation
This ECG is from a 35 yr old male who presented to the Emergency Department following an episode of exertional syncope. He has 1 previous episode of syncope several years prior without investigation. Otherwise he is fit & well with no relevant family history.
Check out the comments on our original post here.
Check out the comments on our original post here.
Saturday, 21 March 2015
ECG of the Week - 23rd March 2015
This ECG is from a 35 yr old male who presented to the Emergency Department following an episode of exertional syncope. He has 1 previous episode of syncope several years prior without investigation. Otherwise he is fit & well with no relevant family history.
Friday, 20 March 2015
ECG of the Week - 16th March 2015 - Interpretation
This ECG series is from a 45 yr old male who was undergoing an out-patient exercise stress test (EST) for investigation of chest pain.
The first ECG is pre-EST. The second ECG was performed when the patient became pre-syncopal during EST. The third ECG was taken 2 minutes after the second ECG and the fourth ECG was performed a further 2 minutes later. The patient was immediately transported to the Emergency Department were he was pain free and ECG was comparable with his pre-EST ECG.
Check out the comments on our original post here.
The first ECG is pre-EST. The second ECG was performed when the patient became pre-syncopal during EST. The third ECG was taken 2 minutes after the second ECG and the fourth ECG was performed a further 2 minutes later. The patient was immediately transported to the Emergency Department were he was pain free and ECG was comparable with his pre-EST ECG.
Check out the comments on our original post here.
Saturday, 14 March 2015
ECG of the Week - 16th March 2015
This ECG series is from a 45 yr old male who was undergoing an out-patient exercise stress test (EST) for investigation of chest pain.
The first ECG is pre-EST. The second ECG was performed when the patient became pre-syncopal during EST. The third ECG was taken 2 minutes after the second ECG and the fourth ECG was performed a further 2 minutes later. The patient was immediately transported to the Emergency Department were he was pain free and ECG was comparable with his pre-EST ECG.
The first ECG is pre-EST. The second ECG was performed when the patient became pre-syncopal during EST. The third ECG was taken 2 minutes after the second ECG and the fourth ECG was performed a further 2 minutes later. The patient was immediately transported to the Emergency Department were he was pain free and ECG was comparable with his pre-EST ECG.
ECG of the Week - 9th March 2015 - Interpretation
This ECG is from a 70 yr old female who was referred into the Emergency Department with a 1 week history of abdominal pain and altered bowel habit. An out-patient CT scan showed diverticulitis complicated by local perforation.
She had a past medical history of IHD (CABG and stents), hypertension and type 2 diabetes. During her initial assessment she complained of chest pain which lasted approximately 5 minutes and resolved spontaneously.
The first of the ECG's below was taken during the episode of chest pain with the second performed ~ 5 minutes later once the patient was pain free.
Check out the comments on our original post here.
She had a past medical history of IHD (CABG and stents), hypertension and type 2 diabetes. During her initial assessment she complained of chest pain which lasted approximately 5 minutes and resolved spontaneously.
The first of the ECG's below was taken during the episode of chest pain with the second performed ~ 5 minutes later once the patient was pain free.
Check out the comments on our original post here.
Friday, 6 March 2015
ECG of the Week - 9th March 2015
This ECG is from a 70 yr old female who was referred into the Emergency Department with a 1 week history of abdominal pain and altered bowel habit. An out-patient CT scan showed diverticulitis complicated by local perforation.
She hah a past medical history of IHD (CABG and stents), hypertension and type 2 diabetes. During her initial assessment she complained of chest pain which lasted approximately 5 minutes and resolved spontaneously.
The first of the ECG's below was taken during the episode of chest pain with the second performed ~ 5 minutes later once the patient was pain free.
She hah a past medical history of IHD (CABG and stents), hypertension and type 2 diabetes. During her initial assessment she complained of chest pain which lasted approximately 5 minutes and resolved spontaneously.
The first of the ECG's below was taken during the episode of chest pain with the second performed ~ 5 minutes later once the patient was pain free.
ECG of the Week - 2nd March 2015 - Interpretation
These ECG's are from a 20 yr old female who presented to the Emergency Department following an episode of chest pain. At review she was pain free and all vital signs were normal. Her serial ECG's are below, there is ~30 mins between each ECG.
Check out the extensive comments on our original post here.
Check out the extensive comments on our original post here.
Sunday, 1 March 2015
ECG of the Week - 2nd March 2015
These ECG's are from a 20 yr old female who presented to the Emergency Department following an episode of chest pain. At review she was pain free and all vital signs were normal. Her serial ECG's are below, there is ~30 mins between each ECG.
Wednesday, 25 February 2015
ECG of the Week - 23rd February 2015 - Interpretation
The following ECG is from a 50 yr old male. Nil relevant past medical history. The patient had an out-of-hospital witnesses cardiac arrest with immediate bystander CPR. On paramedic arrival he was found to be in VF and ROSC was achieved following DC cardioversion.
On arrival to the Emergency Department the patient was agitated and combative with episodic abnormal posturing.
Vital signs: GCS ~5-7 (M=2-4 E=1 V=2), BP 136/78, RR 12, Temp 36.5 (97.7F), BSL 8.4 mmol/L, Sat 100% on 15L/min
The patient received iv sedation to facilitate initial assessment, his ECG is below.
Check out the comments on our original post here.
On arrival to the Emergency Department the patient was agitated and combative with episodic abnormal posturing.
Vital signs: GCS ~5-7 (M=2-4 E=1 V=2), BP 136/78, RR 12, Temp 36.5 (97.7F), BSL 8.4 mmol/L, Sat 100% on 15L/min
The patient received iv sedation to facilitate initial assessment, his ECG is below.
Check out the comments on our original post here.
Sunday, 22 February 2015
ECG of the Week - 23rd February 2015
The following ECG is from a 50 yr old male. Nil relevant past medical history. The patient had an out-of-hospital witnesses cardiac arrest with immediate bystander CPR. On paramedic arrival he was found to be in VF and ROSC was achieved following DC cardioversion.
On arrival to the Emergency Department the patient was agitated and combative with episodic abnormal posturing.
Vital signs: GCS ~5-7 (M=2-4 E=1 V=2), BP 136/78, RR 12, Temp 36.5 (97.7F), BSL 8.4 mmol/L, Sat 100% on 15L/min
The patient received iv sedation to facilitate initial assessment, his ECG is below.
On arrival to the Emergency Department the patient was agitated and combative with episodic abnormal posturing.
Vital signs: GCS ~5-7 (M=2-4 E=1 V=2), BP 136/78, RR 12, Temp 36.5 (97.7F), BSL 8.4 mmol/L, Sat 100% on 15L/min
The patient received iv sedation to facilitate initial assessment, his ECG is below.
ECG of the Week - 16th February 2015 - Interpretation
This week's ECG case comes with three ECG's. They are from an 85 yr old female who presented with a 12 hour history of feeling generally unwell. Her past medical history includes congestive cardiac failure (EF 35%), chronic renal impairment and paroxysmal atrial fibrillation. Medications included a calcium-channel blocker and a beta-blocker.
On arrival her blood pressure was 125/65 and she had a GCS of 15.
These ECG were each performed at ~30 minutes intervals.
Check out the comments on our original post here.
On arrival her blood pressure was 125/65 and she had a GCS of 15.
These ECG were each performed at ~30 minutes intervals.
Check out the comments on our original post here.
Sunday, 15 February 2015
ECG of the Week - 16th February 2015
This week's ECG case comes with three ECG's. They are from an 85 yr old female who presented with a 12 hour history of feeling generally unwell. Her past medical history includes congestive cardiac failure (EF 35%), chronic renal impairment and paroxysmal atrial fibrillation. Medications included a calcium-channel blocker and a beta-blocker.
On arrival her blood pressure was 125/65 and she had a GCS of 15.
These ECG were each performed at ~30 minutes intervals.
On arrival her blood pressure was 125/65 and she had a GCS of 15.
These ECG were each performed at ~30 minutes intervals.
ECG of the Week - 9th February 2015 - Interpretation
This ECG is from a 1 yr old who was brought to the Emergency Department following a suspected nicotine ingestion. The child was clinically well and vital signs were within age appropriate ranges.
Check out the comments on our original post here.
Check out the comments on our original post here.
Saturday, 7 February 2015
ECG of the Week - 9th February 2015
This ECG is from a 1 yr old who was brought to the Emergency Department following a suspected nicotine ingestion. The child was clinically well and vital signs were within age appropriate ranges.
Wednesday, 4 February 2015
ECG of the Week - 2nd February 2015 - Interpretation
This ECG is from a 74 yr old female who presented with central chest pain for the last 90 minutes.
Check out the comments on our original post here.
Check out the comments on our original post here.
Monday, 2 February 2015
ECG of the Week - 2nd February 2015
This ECG is from a 74 yr old female who presented with central chest pain for the last 90 minutes.
ECG of the Week - 26th January 2015 - Interpretation
These ECG's are from a 70 yr old male who presented to the Emergency Department following an overdose of unknown agent / agents.
The first ECG was performed on arrival the second ECG following intervention.
Check out the comments on our original post here.
The first ECG was performed on arrival the second ECG following intervention.
Check out the comments on our original post here.
Sunday, 25 January 2015
ECG of the Week - 26th January 2015
These ECG's are from a 70 yr old male who presented to the Emergency Department following an overdose of unknown agent / agents.
The first ECG was performed on arrival the second ECG following intervention.
The first ECG was performed on arrival the second ECG following intervention.
ECG of the Week - 19th January 2015 - Interpretation
This ECG is from a 23 yr old female who presented to the Emergency Department following an episode of palpitations. She is fit & healthy and was asymptomatic when this ECG was performed.
Check out the comments from our original post here.
Check out the comments from our original post here.
Saturday, 17 January 2015
ECG of the Week - 19th January 2015
This ECG is from a 23 yr old female who presented to the Emergency Department following an episode of palpitations. She is fit & healthy and was asymptomatic when this ECG was performed.
ECG of the Week - 12th January 2015 - Interpretation
This ECG is from a 74 yr old female. I don't have any more clinical information on the case unfortunately.
Check out the comments on our original case here.
Check out the comments on our original case here.
Friday, 9 January 2015
ECG of the Week - 12th January 2015
This ECG is from a 74 yr old female. I don't have any more clinical information on the case unfortunately.
ECG of the Week - 5th January 2015 - Interpretation
This ECG is from a 78 yr old male with known severe dilated cardiomyopathy. He presented complaining of worsening peripheral oedema, anorexia and weakness.
Check out the comments from our original post here.
Check out the comments from our original post here.
Sunday, 4 January 2015
ECG of the Week - 5th January 2015
This ECG is from a 78 yr old male with known severe dilated cardiomyopathy. He presented complaining of worsening peripheral oedema, anorexia and weakness.
Saturday, 3 January 2015
ECG of the Week - 29th December 2014 - Interpretation
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.
Check out the comments on our original post here.
Check out the comments on our original post here.
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