ECG of the Week - 2nd January 2016

The following ECG's are from a 89 yr old male who presented with worsening dizziness and light-headedness. Clinical examination revealed postural hypotension. He is on no medication.

ECG of the Week - 26th December 2016 - Interpretation

The following ECG is from a 36 yr old male who presented with chest pain and dysponea.

ECG of the Week - 26th December 2016

The following ECG is from a 36 yr old male who presented with chest pain and dysponea.

ECG of the Week - 19th December 2016 - Interpretation

The following ECG is from a 63 yr old female who presented complaining of palpitations. She has a history of prior episodes of palpitations.

ECG of the Week - 19th December 2016

The following ECG is from a 63 yr old female who presented complaining of palpitations. She has a history of prior episodes of palpitations.

ECG of the Week - 12th December 2016 - Interpretation

The following ECG is from a 67 yr old male who was brought to the Emergency Department following an Out-of-Hospital Cardiac Arrest (OOHCA). Return of circulation was achieved pre-hospital following 8 mins of CPR. He has a history of 'heart muscle weakness', T2DM and 'kidney problems'. 

ECG of the Week - 12th December 2016

The following ECG is from a 67 yr old male who was brought to the Emergency Department following an Out-of-Hospital Cardiac Arrest (OOHCA). Return of circulation was achieved pre-hospital following 8 mins of CPR. He has a history of 'heart muscle weakness', T2DM and 'kidney problems'. 

ECG of the Week - 5th December 2016 - Interpretation

The following ECG is from a 57 yr old male who presented with diarrhoea & vomiting. Past medical history of T2DM and  hypertension. The second ECG is from a month prior when the patient had presented with epigastric pain.

ECG of the Week - 5th December 2016

The following ECG is from a 57 yr old male who presented with diarrhoea & vomiting. Past medical history of T2DM and  hypertension. The second ECG is from a month prior when the patient had presented with epigastric pain.

ECG of the Week - 28th November 2016 - Interpretation

The following ECG's are from a 62 yr old female who presented with chest and epigastric pain. The first ECG was performed by the patient's GP and the second ECG on arrival in the Emergency Department. Her pain was ongoing at the time of both ECG's and she has a past medical history of hypertension, obesity and T2DM.

ECG of the Week - 28th November 2016

The following ECG's are from a 62 yr old female who presented with chest and epigastric pain. The first ECG was performed by the patient's GP and the second ECG on arrival in the Emergency Department. Her pain was ongoing at the time of both ECG's and she has a past medical history of hypertension, obesity and T2DM.

ECG of the Week - 21st November 2016 - Interpretation

This ECG is from an 89 yr old female who presented with abdominal pain and fever. She has a PPM in-situ and a history of ischaemic cardiac disease.

ECG of the Week - 21st November 2016

This ECG is from an 89 yr old female who presented with abdominal pain and fever. She has a PPM in-situ and a history of ischaemic cardiac disease.

ECG of the Week - 14th November 2016 - Interpretation

The following ECG's are from an 84yr old male who presented following an episode of syncope in which he sustained a head injury. 
The initial ECG was taken on presentation to the Emergency Department and the second ECG was performed several hours later. The patient was asymptomatic on both occasions with a normal blood pressure. 

ECG of the Week - 14th November 2016

The following ECG's are from an 84 yr old male who presented following an episode of syncope in which he sustained a head injury. 
The initial ECG was taken on presentation to the Emergency Department and the second ECG was performed several hours later. The patient was asymptomatic on both occasions with a normal blood pressure. 

ECG of the Week - 7th November 2016 - Interpretation

This ECG is from a 72 yr old female who presented with 30 minutes of central chest tightness radiating to the back. She has a history of hypertension.

ECG of the Week - 7th November 2016

This ECG is from a 72 yr old female who presented with 30 minutes of central chest tightness radiating to the back. She has a history of hypertension.

ECG of the Week - 31st October 2016 - Interpretation

The following ECG's are from a 70 yr old female who presented complaining of palpitations. The 2nd ECG was performed after medical intervention. She has a history of prior atrial fibrillation treated with ablation.

ECG of the Week - 31st October 2016

The following ECG's are from a 70 yr old female who presented complaining of palpitations. The 2nd ECG was performed after medical intervention. She has a history of prior atrial fibrillation treated with ablation.

ECG of the Week - 24th October 2016 - Interpretation

The following ECG is from a 62 yr old male who presented with 90 minutes of central chest pain.

ECG of the Week - 24th October 2016

The following ECG is from a 62 yr old male who presented with 90 minutes of central chest pain.

ECG of the Week - 17th October 2016 - Interpretation

The following ECG is from a 76 yr old male who had an episode of syncope whilst gardening. This is an ECG that was faxed from a rural location for specialist advice and highlights the difficulties faced when interpreting an ECG of less than ideal quality.

ECG of the Week - 17th October 2016

The following ECG is from a 76 yr old male who had an episode of syncope whilst gardening. This is an ECG that was faxed from a rural location for specialist advice and highlights the difficulties faced when interpreting an ECG of less than ideal quality.

ECG of the Week - 10th October 2016 - Interpretation

The following ECG is from a 83 yr old female who presented to her GP with a 1 week history of exertional dysponea. She is normal fit and well and takes no regular medication. 
The ECG machine interpretation reads 'sinus bradycardia, 1st degree AV block, right bundle branch block'.  What do you think ?

ECG of the Week - 10th October 2016

The following ECG is from a 83 yr old female who presented to her GP with a 1 week history of exertional dysponea. She is normal fit and well and takes no regular medication. 
The ECG machine interpretation reads 'sinus bradycardia, 1st degree AV block, right bundle branch block'.  What do you think ?

ECG of the Week - 3rd October 2016 - Interpretation

The following ECG is from a 78yr old female who presented to the Emergency Department with a 1 day history of cough, confusion, fever and dysponea. She has a prior medical history of COPD, PVD and rheumatoid arthritis.

ECG of the Week - 3rd October 2016

The following ECG is from a 78yr old female who presented to the Emergency Department with a 1 day history of cough, confusion, fever and dysponea. She has a prior medical history of COPD, PVD and rheumatoid arthritis.

ECG of the Week - 26th September 2016 - Interpretation

The following ECG is from a 61 yr old male who presented confused having been found on the floor. He has a past medical history of gout and Parkinson's. He is unable to give a list of his medications.

ECG of the Week - 26th September 2016

The following ECG is from a 61 yr old male who presented confused having been found on the floor. He has a past medical history of gout and Parkinson's. He is unable to give a list of his medications.

ECG of the Week - 19th September 2016 - Interpretation

This ECG is from an 88 yr old male with a history of ischaemic heart disease and PVD. I don't know what his presenting complaint to the Emergency Department was, but what does his ECG show ?

ECG of the Week - 19th September 2016

This ECG is from an 88 yr old male with a history of ischaemic heart disease and PVD. I don't know what his presenting complaint to the Emergency Department was, but what does his ECG show ?

ECG of the Week - 12th September 2016 - Interpretation

The following ECG is from a 43 yr old male who was referred from his GP due to concerns over an abnormal ECG. He presented with several months of exertional dysponea, chest pain and dizziness. He was asymptomatic at GP and Emergency Department presentation.

ECG of the Week - 12th September 2016

The following ECG is from a 43 yr old male who was referred from his GP due to concerns over an abnormal ECG. He presented with several months of exertional dysponea, chest pain and dizziness. He was asymptomatic at GP and Emergency Department presentation.

ECG of the Week - 5th September 2016 - Interpretation

The following ECG is from a 60 yr old female who presented complaining of central chest pain. Background of hypertension and a prior smoking history.

ECG of the Week - 5th September 2016

The following ECG is from a 60 yr old female who presented complaining of central chest pain. Background of hypertension and a prior smoking history.

ECG of the Week - 29th August 2016 - Interpretation

This ECG is from a 71 yr old male who presented complaining of central chest pain. He has a history of embolic CVA a year prior and prior MI with stenting.

ECG of the Week - 29th August 2016

This ECG is from a 71 yr old male who presented complaining of central chest pain. He has a history of embolic CVA a year prior and prior MI with stenting.

ECG of the Week - 22nd August 2016 - Interpretation

This ECG is from a 20 yr old female who presented following an episode of palpitations with associated chest pain and dysponea.

ECG of the Week - 22nd August 2016

This ECG is from a 20 yr old female who presented following an episode of palpitations with associated chest pain and dysponea.

ECG of the Week - 15th August 2016 - Interpretation

The following ECG is from a 58 yr old male who presented following several hours of cardiac sounding chest pain. He was pain free when this ECG was recorded.

ECG of the Week - 15th August 2016

The following ECG is from a 58 yr old male who presented following several hours of cardiac sounding chest pain. He was pain free when this ECG was recorded.

ECG of the Week - 8th August 2016 - Interpretation

The following ECG's are from an 85yr old female who presented with typical cardiac chest pain at rest. Both the ECG's were performed when the patient was pain free.

ECG of the Week - 8th August 2016

The following ECG's are from an 85yr old female who presented with typical cardiac chest pain at rest. Both the ECG's were performed when the patient was pain free.

ECG of the Week - 1st August 2016 - Interpretation

The following ECG is from a 55 yr old male who presented with chest pain. He is a smoker with a history of controlled hypertension.

ECG of the Week - 1st August 2016

The following ECG is from a 55 yr old male who presented with chest pain. He is a smoker with a history of controlled hypertension.

ECG of the Week - 25th July 2016 - Interpretation

This ECG is from a 50 yr old female who presents complaining of chest pain with associated epigastric pain and vomiting. She is on a NOAC for a prior PE.

ECG of the Week - 25th July 2016

This ECG is from a 50 yr old female who presents complaining of chest pain with associated epigastric pain and vomiting. She is on a NOAC for a prior PE.

ECG of the Week - 18th July 2016 - Interpretation

The following ECG is from a 28 yr old female who is 20 weeks pregnant. She presented complaining of dysponea and chest pain.

ECG of the Week - 18th July 2016

The following ECG is from a 28 yr old female who is 20 weeks pregnant. She presented complaining of dysponea and chest pain.

ECG of the Week - 11th July 2016 - Interpretation

The following ECG is from a 38 yr old male who presented complaining of chest pain. Current smoker but nil medical or family history.

ECG of the Week - 11th July 2016

The following ECG is from a 38 yr old male who presented complaining of chest pain. Current smoker but nil medical or family history.

ECG of the Week - 4th July 2016 - Interpretation

The following ECG is from a 75 yr old patient who presented with a rash and fever. They had recently been commenced on lenalidomide for multiple myeloma. They are also on warfarin for a prior mitral valve replacement.

ECG of the Week - 4th July 2016

The following ECG is from a 75 yr old patient who presented with a rash and fever. They had recently been commenced on lenalidomide for multiple myeloma. They are also on warfarin for a prior mitral valve replacement.

ECG of the Week - 27th June 2016 - Interpretation

The following ECG is from an elderly female who presented with malaise, weight loss and chest pain.

ECG of the Week - 27th June 2016

The following ECG is from an elderly female who presented with malaise, weight loss and chest pain.

ECG of the Week - 20th June 2016 - Interpretation

The following ECG is from a 61 yr old male who presented with a 4/7 history of central chest pain. Past medical history of hypertension, diabetes and smoking.

ECG of the Week - 20th June 2016

The following ECG is from a 61 yr old male who presented with a 4/7 history of central chest pain. Past medical history of hypertension, diabetes and smoking.

ECG of the Week - 13th June 2016 - Interpretation

The following ECG is from a 52yr old male presenting with dysponea.

ECG of the Week - 13th June 2016

The following ECG is from a 52yr old male presenting with dysponea.

ECG of the Week - 6th June 2016 - Interpretation

The following ECG is from a 70 yr old female who presented following an episode of chest pain at home.

ECG of the Week - 6th June 2016

The following ECG is from a 70 yr old female who presented following an episode of chest pain at home.

ECG of the Week - 30th May 2016 - Interpretation

The following ECG is from an 82 yr old male with a history of severe pulmonary hypertension. He presents with worsening shortness of breath and hypoxaemia.

ECG of the Week - 30th May 2016

The following ECG is from an 82 yr old male with a history of severe pulmonary hypertension. He presents with worsening shortness of breath and hypoxaemia.

ECG of the Week - 23rd May 2016 - Interpretation

The following ECG is from a 50 yr old male who was referred in from his GP with a 2 week history of dysponea and myalgia. The GP was concerned regarding an old inferior myocardial infarction.

ECG of the Week - 23rd May 2016

The following ECG is from a 50 yr old male who was referred in from his GP with a 2 week history of dysponea and myalgia. The GP was concerned regarding an old inferior myocardial infarction.

ECG of the Week - 16th May 2016 - Interpretation

This ECG is from a 3yr old male who presented with increasing shortness of breath.

ECG of the Week - 16th May 2016

This ECG is from a 3yr old male who presented with increasing shortness of breath.

ECG of the Week - 9th May 2016 - Interpretation

This ECG is from a 75 yr old male who presented with increasing shortness of breath. He has a history of atrial fibrillation but can't remember what medications he takes.

ECG of the Week - 9th May 2016

This ECG is from a 75 yr old male who presented with increasing shortness of breath. He has a history of atrial fibrillation but can't remember what medications he takes.

ECG of the Week - 2nd May 2016 - Interpretation

This ECG is from a 76 yr old male who presented to his GP with exertional dysponea. Past medical history of hypertension.

ECG of the Week - 2nd May 2016

This ECG is from a 76 yr old male who presented to his GP with exertional dysponea. Past medical history of hypertension.

ECG of the Week - 25th April 2016 - Interpretation

The following ECG is from an 89 yr old male who presented to the Emergency Department complaining of dizziness.

ECG of the Week - 25th April 2016

The following ECG is from an 89yr old male who presented to the Emergency Department complaining of dizziness.

ECG of the Week - 18th April 2016 - Interpretation

The following ECG is from an 84 yr old male who presented with chest pain and dizziness. He had a dual chamber pacemaker in-situ inserted for symptomatic bradycardia.

 

ECG of the Week - 18th April 2016

The following ECG is from an 84 yr old male who presented with chest pain and dizziness. He had a dual chamber pacemaker in-situ inserted for symptomatic bradycardia.

ECG of the Week - 11th April 2016 - Interpretation

This ECG is from a 52 yr old male presenting with 1 hour of central chest pain.

ECG of the Week - 11th April 2016

This ECG is from a 52 yr old male presenting with 1 hour of central chest pain.

ECG of the Week - 4th April 2016 - Interpretation

These ECG's are from a 21 yr old male who presented complaining of palpitations.

ECG of the Week - 4th April 2016

These ECG's are from a 21 yr old male who presented complaining of palpitations.

ECG of the Week - 28th March 2016 - Interpretation

The following ECG series is froma 58 year old male who was referred by his GP following 14 hours of central chest pain. His past medical history included hypertension, hypercholesterolemia, and smoking.

ECG of the Week - 28th March 2016

The following ECG series is froma 58 year old male who was referred by his GP following 14 hours of central chest pain. His past medical history included hypertension, hypercholesterolaemia, and smoking.

ECG of the Week - 21st March 2016 - Interpretation

The following ECG's are from a 58 yr old male who presented with chest pain onset 30 mins prior. He had an episode of exertional chest pain the day prior and is a smoker. The ECG's were performed 10 minutes apart.

ECG of the Week - 21st March 2016

The following ECG's are from a 58 yr old male who presented with chest pain onset 30 mins prior. He had an episode of exertional chest pain the day prior and is a smoker. The ECG's were performed 10 minutes apart.

ECG of the Week - 14th March 2016 - Interpretation

The following ECG is from a 34 yr old female who presented to the Emergency Department complaining of progressive weakness. She has known Gitelman syndrome and recently had several medications changed.

ECG of the Week - 14th March 2016

The following ECG is from a 34 yr old female who presented to the Emergency Department complaining of progressive weakness. She has known Gitelman syndrome and recently had several medications changed.

ECG of the Week - 7th March 2016 - Interpretation

The following ECG is from a 44 year old male with a history of non-complaint Type 1 diabetes. He has been found at home in a semi-conscious state.

ECG of the Week - 7th March 2016

The following ECG is from a 44 year old male with a history of non-complaint Type 1 diabetes. He has been found at home in a semi-conscious state.

ECG of the Week - 29th February 2016 - Interpretation

The following ECG is from an 80 year old female who presented to the Emergency Department complaining of lethargy and feeling generally unwell.

ECG of the Week - 29th February 2016

The following ECG is from an 80 year old female who presented to the Emergency Department complaining of lethargy and feeling generally unwell.

ECG of the Week - 22nd February 2016 - Interpretation

This ECG is from a 28 year old male who presented following an episode of syncope. he had no known medical problems, takes no regular medication and has no family history of collapse or sudden cardiac death.

ECG of the Week - 22nd February 2016

This ECG is from a 28 year old male who presented following an episode of syncope. he had no known medical problems, takes no regular medication and has no family history of collapse or sudden cardiac death.

ECG of the Week - 15th February 2016 - Interpretation

The following ECG is from an 86 yr old female who presented following an episode of chest pain. She has a dual chamber PPM in situ following a prior episode of complete heart block. Old ECG's revealed an A-paced rhythm with no lateral / high lateral T wave inversion.

ECG of the Week - 15th February 2016

The following ECG is from an 86 yr old female who presented following an episode of chest pain. She has a dual chamber PPM in situ following a prior episode of complete heart block. Old ECG's revealed an A-paced rhythm with no lateral / high lateral T wave inversion.

ECG of the Week - 8th February 2016 - Interpretation

The following ECG is from a 56 yr old female who presented with 3 hours of typical cardiac chest pain. The pain onset coincided with an episode of emotional distress.

ECG of the Week - 8th February 2016

The following ECG is from a 56 yr old female who presented with 3 hours of typical cardiac chest pain. The pain onset coincided with an episode of emotional distress.

ECG of the Week - 1st February 2016 - Interpretation

The following ECG is from a 60yr old male who had an out-of-hospital cardiac arrest. Return of spontaneous circulation was attained pre-hospital.

ECG of the Week - 1st February 2016

The following ECG is from a 60yr old male who had an out-of-hospital cardiac arrest. Return of spontaneous circulation was attained pre-hospital.

ECG of the Week - 25th January 2015 - Interpretation

This week's ECG is another ECG from our patient from last week and the week prior to that. He is an 88yr old male who had an episode of VT on a background of ischaemic cardiomyopathy. Following successful cardioversion he underwent an ICD insertion. He then presented to the Emergency Department complaining of palpitations.

ECG of the Week - 25th January 2015

This week's ECG is another ECG from our patient from last week and the week prior to that. He is an 88yr old male who had an episode of VT on a background of ischaemic cardiomyopathy. Following successful cardioversion he underwent an ICD insertion. He then presented to the Emergency Department complaining of palpitations.

ECG of the Week - 18th January 2015 - Interpretation

This week's ECG is another ECG from our patient from last week. He is an 88yr old male who had an episode of VT on a background of ischaemic cardiomyopathy. Following successful cardioversion he underwent an ICD insertion. His CXR and ECG are shown below.

ECG of the Week - 18th January 2015

This week's ECG is another ECG from our patient from last week. He is an 88yr old male who had an episode of VT on a background of ischaemic cardiomyopathy. Following successful cardioversion he underwent an ICD insertion. His CXR and ECG are shown below.

ECG of the Week - 11th January 2015 - Interpretation

The following ECG is from an 88 yr old male with a known history of ischaemic cardiomyopathy. He presented complaining of palpitations and dizziness for the preceding hour.

ECG of the Week - 11th January 2015

The following ECG is from an 88 yr old male with a known history of ischaemic cardiomyopathy. He presented complaining of palpitations and dizziness for the preceding hour.

ECG of the Week - 4th January 2016 - Interpretation

This week's ECG is from an 80 yr old female who presented with right upper quadrant pain and fever.

ECG of the Week - 4th January 2016

This week's ECG is from an 80 yr old female who presented with right upper quadrant pain and fever.