ECG of the Week - 1st January 2018

The following ECG's are from a 23 yr old female with a known history of pre-excitation and prior ablation.

ECG of the Week - 25th December 2017 - Interpretation

The following ECG's are from a 89 yr old female who presented with chest pain. She has a history of 2nd degree AV block with PPM in-situ.

ECG of the Week - 25th December 2017

The following ECG's are from a 89 yr old female who presented with chest pain. She has a history of 2nd degree AV block with PPM in-situ.

ECG of the Week - 18th December 2017 - Interpretation

The following ECG is from a 90 yr old female who presented with general deterioration, weakness and anorexia. She has a past cardiac history of cardiac failure, paroxysmal atrial fibrillation and aortic valve replacement.

ECG of the Week - 18th December 2017

The following ECG is from a 90 yr old female who presented with general deterioration, weakness and anorexia. She has a past cardiac history of cardiac failure, paroxysmal atrial fibrillation and aortic valve replacement.

ECG of the Week - 11th December 2017 - Interpretation

The following ECG is from a 68 yr old male who presented with a history of dizziness and pre-syncope.

ECG of the Week - 11th December 2017

The following ECG is from a 68 yr old male who presented with a history of dizziness and pre-syncope.

ECG of the Week - 4th December 2017 - Interpretation

The following ECG is from a 65 yr old male who presented with lethargy, nausea, diarrhoea and bone pain.

ECG of the Week - 4th December 2017

The following ECG is from a 65 yr old male who presented with lethargy, nausea, diarrhoea and bone pain.

ECG of the Week - 27th November 2017 - Interpretation

The following ECG is from a 36 yr old male who presented following an out-of-hospital cardiac arrest. Return of spontaneous circulation was achieved pre-hospital. On arrival the patient has a GCS of 3 (E=1,M=1,V=1).

ECG of the Week - 27th November 2017

The following ECG is from a 36 yr old male who presented following an out-of-hospital cardiac arrest. Return of spontaneous circulation was achieved pre-hospital. On arrival the patient has a GCS of 3 (E=1,M=1,V=1).

ECG of the Week - 20th November 2017 - Interpretation

The following rhythm strip is from a patient who presented with an episode of syncope. Their baseline ECG showed 1st degree AV block with no other abnormal features.

ECG of the Week - 20th November 2017

The following rhythm strip is from a patient who presented with an episode of syncope. Their baseline ECG showed 1st degree AV block with no other abnormal features.

ECG of the Week - 13th November 2017 - Interpretation

The following ECG is from 51 yr old female who presented with chronic vomiting. She has a history of rheumatoid arthritis and paroxysmal atrial fibrillation. Her medications include sotalol and rivaroxaban.

ECG of the Week - 13th November 2017

The following ECG is from 51 yr old female who presented with chronic vomiting. She has a history of rheumatoid arthritis and paroxysmal atrial fibrillation. Her medications include sotalol and rivaroxaban.

ECG of the Week - 6th November 2017 - Interpretation

The following ECG is from a 23 yr old male bodybuilder who presented following a 30 minute episode of non-exertional chest pain. This ECG was taken when he was pain-free.

ECG of the Week - 6th November 2017

The following ECG is from a 23 yr old male bodybuilder who presented following a 30 minute episode of non-exertional chest pain. This ECG was taken when he was pain-free.

ECG of the Week - 30th October 2017 - Interpretation

The following ECG is from a patient complaining of acute onset chest pain.

ECG of the Week - 30th October 2017

The following ECG is from a patient complaining of acute onset chest pain.

ECG of the Week - 23rd October 2017 - Interpretation

The following ECG is from a 24 yr old male who presents to the Emergency Department following a sporting injury. An ECG was performed as the patient stated they had a prior cardiac history. He had undergone an EP study and ablation for pre-excitation.

ECG of the Week - 23rd October 2017

The following ECG is from a 24 yr old male who presents to the Emergency Department following a sporting injury. An ECG was performed as the patient stated they had a prior cardiac history. He had undergone an EP study and ablation for pre-excitation.

ECG of the Week - 16th October 2017 - Interpretation

The following ECG is from a 23 yr old female who presents to the Emergency Department with lower limb cellulitis. A 'routine' ECG was performed.

ECG of the Week - 16th October 2017

The following ECG is from a 23 yr old female who presents to the Emergency Department with lower limb cellulitis. A 'routine' ECG was performed.

ECG of the Week - 9th October 2017 - Interpretation

The following ECG is from a 64 yr old female who presents feeling generally unwell and weak. She has a history of pituitary lesion treated by surgical resection and radiotherapy.

ECG of the Week - 9th October 2017

The following ECG is from a 64 yr old female who presents feeling generally unwell and weak. She has a history of pituitary lesion treated by surgical resection and radiotherapy.

ECG of the Week - 2nd October 2017 - Interpretation

The following ECG is from a 16 yr old male who presented with episodes of feeling unwell, nauseous and dizzy. He is on no medication and was investigated for palpitations 7 yrs ago without cause identified.

ECG of the Week - 2nd October 2017

The following ECG is from a 16 yr old male who presented with episodes of feeling unwell, nauseous and dizzy. He is on no medication and was investigated for palpitations 7 yrs ago without cause identified.

ECG of the Week - 25th September 2017 - Interpretation

The following ECG is from a 60 yr old female who was competing in a triathlon when she became short of breath. She was found to be hypothermic (32 C / 89.6 F) at the scene but normothermic on arrival to the Emergency Department (36 C/ 96.8 F)

ECG of the Week - 25th September 2017

The following ECG is from a 60 yr old female who was competing in a triathlon when she became short of breath. She was found to be hypothermic (32 C / 89.6 F) at the scene but normothermic on arrival to the Emergency Department (36 C/ 96.8 F)

ECG of the Week - 18th September 2017 - Interpretation

This ECG is from a 52 yr old male who presented with 14 hours of chest pain.

ECG of the Week - 18th September 2017

This ECG is from a 52 yr old male who presented with 14 hours of chest pain.

ECG of the Week - 11th September 2017 - Interpretation

This ECG is from a 45 yr old who was found in a collapsed state in the street.

ECG of the Week - 11th September 2017

This ECG is from a 45 yr old who was found in a collapsed state in the street.

ECG of the Week - 4th September 2017 - Interpretation

This ECG is from a 43 yr old male with chronic severe hypertension.

ECG of the Week - 4th September 2017

This ECG is from a 43 yr old male with chronic severe hypertension.

ECG of the Week - 28th August 2017 - Interpretation

This ECG is from an 86 yr old male referred by his General Practitioner with worsening renal failure. He has a history of atrial fibrillation with bradycardia for which he had a PPM inserted. His medications include metoprolol.

ECG of the Week - 28th August 2017

This ECG is from an 86 yr old male referred by his General Practitioner with worsening renal failure. He has a history of atrial fibrillation with bradycardia for which he had a PPM inserted. His medications include metoprolol.

ECG of the Week - 21st August 2017 - Interpretation

This ECG is from a 35 yr old male Type 1 diabetic. He presents feeling generally unwell with abdominal pain and dysponea.

ECG of the Week - 21st August 2017

This ECG is from a 35 yr old male Type 1 diabetic. He presents feeling generally unwell with abdominal pain and dysponea.

ECG of the Week - 14th August 2017 - Interpretation

The following ECG is from a 74 yr old male who presented with suspected cardiac chest pain.

ECG of the Week - 14th August 2017

The following ECG is from a 74 yr old male who presented with suspected cardiac chest pain.

ECG of the Week - 7th August 2017 - Interpretation

The following ECG is from a 59 yr old female who presented to the Emergency Department complaining of palpitations.

ECG of the Week - 7th August 2017

The following ECG is from a 59 yr old female who presented to the Emergency Department complaining of palpitations.

ECG of the Week - 31st July 2017 - Interpretation

The following ECG is from a 66 yr old male for presented to the Emergency Department complaining of dizziness and pre-syncope without chest pain. He has a history of ischaemic heart disease.

ECG of the Week - 31st July 2017

The following ECG is from a 66 yr old male for presented to the Emergency Department complaining of dizziness and pre-syncope without chest pain. He has a history of ischaemic heart disease.

ECG of the Week - 24th July 2017 - Interpretation

The following ECG is from a 52 yr old female who was referred by her General Practitioner with confusion and abnormal biochemistry results.

ECG of the Week - 24th July 2017

The following ECG is from a 52 yr old female who was referred by her General Practitioner with confusion and abnormal biochemistry results.

ECG of the Week - 17th July 2017 - Interpretation

The following ECG is from a normally fit and well 10 yr old female who presented with chest pain. She has normal vital signs and a normal chest x-ray.

ECG of the Week - 17th July 2017

The following ECG is from a normally fit and well 10 yr old female who presented with chest pain. She has normal vital signs and a normal chest x-ray.

ECG of the Week - 10th July 2017 - Interpretation

The following ECG is from a 52 yr old who presented to a remote medical center, 360km from the nearest tertiary hospital, with chest pain for 1 hour.

ECG of the Week - 10th July 2017

The following ECG is from a 52 yr old who presented to a remote medical center, 360km from the nearest tertiary hospital, with chest pain for 1 hour.

ECG of the Week - 3rd July 2017 - Interpretation

The following serial ECG's are from a 69 yr old female who presented with a history of intermittent chest pain. She was pain free on arrival to the Emergency Department and had a brief episode of self-resolving chest pain whilst in the Emergency Department.

ECG of the Week - 3rd July 2017

The following serial ECG's are from a 69 yr old female who presented with a history of intermittent chest pain. She was pain free on arrival to the Emergency Department and had a brief episode of self-resolving chest pain whilst in the Emergency Department.

ECG of the Week - 26th June 2017 - Interpretation

The following ECG is from a patient who presented with atypical right sided chest pain.

ECG of the Week - 26th June 2017

The following ECG is from a patient who presented with atypical right sided chest pain.

ECG of the Week - 19th June 2017 - Interpretation

The following ECG's are from a 70 yr old male. He presented to the Emergency Department complaining of palpitations, fatigue, epigastric pain and dizziness. Further history revealed he had malaena for a week prior with no history of significant alcohol consumption. His only past medical history is of ischaemic cardiac disease requiring stenting 10 yrs prior. His medications included aspirin, atorvastatin and metoprolol. His ECG on presentation is below with a further ECG performed when he complained of chest pain during his assessment. His Hb on a venous blood gas is 72 g/L(115 - 155).

ECG of the Week - 19th June 2017

The following ECG's are from a 70 yr old male. He presented to the Emergency Department complaining of palpitations, fatigue, epigastric pain and dizziness. Further history revealed he had malaena for a week prior with no history of significant alcohol consumption. His only past medical history is of ischaemic cardiac disease requiring stenting >10 yrs prior. His medications included aspirin, atorvastatin and metoprolol. His ECG on presentation is below with a further ECG performed when he complained of chest pain during his assessment. His Hb on a venous blood gas is 72 g/L(115 - 155).

ECG of the Week - 12th June 2017 - Interpretation

The following ECG is from an 81yr old female who presented complaining of dizziness, nausea and fatigue. She has a history of pulmonary hypertension and paroxysmal atrial fibrillation.

ECG of the Week - 12th June 2017

The following ECG is from an 81 yr old female who presented complaining of dizziness, nausea and fatigue. She has a history of pulmonary hypertension and paroxysmal atrial fibrillation.

ECG of the Week - 5th June 2017 - Interpretation

The following ECG is from a 66 yr old female who presented to the Emergency Department complaining of dizziness and pre-syncope. She is awaiting an out-patient colonoscopy and had just completed her bowel prep.

ECG of the Week - 5th June 2017

The following ECG is from a 66 yr old female who presented to the Emergency Department complaining of dizziness and pre-syncope. She is awaiting an out-patient colonoscopy and had just completed her bowel prep.

ECG of the Week - 29th May 2017 - Interpretation

The following ECG is from an 6 yr old male who presented to a rural hospital complaining of palpitations and dysponea. The nearest large / tertiary hospital is1500km (930 miles) aways.

ECG of the Week - 29th May 2017

The following ECG is from an 6 yr old male who presented to a rural hospital complaining of palpitations and dysponea. The nearest large / tertiary hospital is1500km (930 miles) aways.

ECG of the Week - 22nd May 2017 - Interpretation

The following ECG is from a 67yr old male who presented with a 36 hour history of central chest pain and diaphoresis. He has a history of CABG. 

ECG of the Week - 22nd May 2017

The following ECG is from a 67yr old male who presented with a 36 hour history of central chest pain and diaphoresis. He has a history of CABG. 

ECG of the Week - 15th May 2017 - Interpretation

The following ECG is from an 81yr old female who presented with a 48hr history of palpitations. She underwent a cardioversion for an atrial arrhythmia 1 year ago. Her medications include metoprolol, digoxin and eliquis.

ECG of the Week - 15th May 2017

The following ECG is from an 81yr old female who presented with a 48hr history of palpitations. She underwent a cardioversion for an atrial arrhythmia 1 year ago. Her medications include metoprolol, digoxin and eliquis.

ECG of the Week - 8th May 2017 - Interpretation

The following ECG is from a 12 yr old who presented to the Emergency Department following an episode of dysponea and palpitations.

ECG of the Week - 8th May 2017

The following ECG is from a 12 yr old who presented to the Emergency Department following an episode of dysponea and palpitations.

ECG of the Week - 1st May 2017 - Interpretation

The following ECG is from a 27yr old female who presented with a 1 hour history of palpitations. She has a 12 yr history of intermittent palpitations which have not been captured during investigation.

ECG of the Week - 1st May 2017

The following ECG is from a 27yr old female who presented with a 1 hour history of palpitations. She has a 12 yr history of intermittent palpitations which have not been captured during investigation.

ECG of the Week - 24th April 2017 - Interpretation

The following ECGs are from a 28 yr old female who presented with abrupt onset of chest pain. No relevant past medical history with a positive family history of cardiac disease. The 1st ECG was performed during an episode of pain and the 2nd when the patient was pain-free.

ECG of the Week - 24th April 2017

The following ECGs are from a 28 yr old female who presented with abrupt onset of chest pain. No relevant past medical history with a positive family history of cardiac disease. The 1st ECG was performed during an episode of pain and the 2nd when the patient was pain-free.

ECG of the Week - 17th April 2017 - Interpretation

This ECG is from a 79yr old male who presented to the Emergency Department with central abdominal pain secondary to an incarcerated hernia. A pre-op ECG was performed and is below.

ECG of the Week - 17th April 2017

This ECG is from a 79yr old male who presented to the Emergency Department with central abdominal pain secondary to an incarcerated hernia. A pre-op ECG was performed and is below.

ECG of the Week - 10th April - Interpretation

These ECG's are from a 75yr old with a history of prior STEMI, T2DM and cardiomyopathy (EF 25%). He presented with acute chest pain, nausea and diaphoresis.

ECG of the Week - 10th April

These ECG's are from a 75yr old with a history of prior STEMI, T2DM and cardiomyopathy (EF 25%). He presented with acute chest pain, nausea and diaphoresis.

ECG of the Week - 3rd April 2017 - Interpretation

The following ECG is from a 48 yr old male who attended the Emergency Department following an electric shock. The electricity source was a 240V AC domestic supply and the patient sustained a minor burn to his hand.

ECG of the Week - 3rd April 2017

The following ECG is from a 48 yr old male who attended the Emergency Department following an electric shock. The electricity source was a 240V AC domestic supply and the patient sustained a minor burn to his hand.

ECG of the Week - 27th March 2017 - Interpretation

This ECG is from a 63yr old male who presented with chest pain. He has a 1 month history of exertional chest pain and continuous chest pain for the last 3 hours. He is a hypertensive, ex-smoker with a positive cardiac family history.

ECG of the Week - 27th March 2017

This ECG is from a 63yr old male who presented with chest pain. He has a 1 month history of exertional chest pain and continuous chest pain for the last 3 hours. He is a hypertensive, ex-smoker with a positive cardiac family history.

ECG of the Week - 20th March 2017 - Interpretation

The following ECG is from a 24yr old female who presented with dysponea. Background history of SLE with known cardiac and renal involvement.

ECG of the Week - 20th March 2017

The following ECG is from a 24yr old female who presented with dysponea. Background history of SLE with known cardiac and renal involvement.

ECG of the Week - 13th March 2017 - Interpretation

This ECG is from a 50 yr old male who presented with 2 hours of central chest pain. He has a history of palpitations and is a smoker.

ECG of the Week - 13th March 2017

This ECG is from a 50 yr old male who presented with 2 hours of central chest pain. He has a history of palpitations and is a smoker.

ECG of the Week - 6th March 2017 - Interpretation

The following ECG's are from a 62 yr old male. He has a known 60% LAD stenosis, hypertension and hypercholesterolaemia. He presented to the Emergency Department following 3 episodes of chest pain that day, each resolved with GTN. The two ECG's were recorded 10 minutes apart and the second ECG was performed during an episode of chest pain.

ECG of the Week - 6th March 2017

The following ECG's are from a 62 yr old male. He has a known 60% LAD stenosis, hypertension and hypercholesterolaemia. He presented to the Emergency Department following 3 episodes of chest pain that day, each resolved with GTN. The two ECG's were recorded 10 minutes apart and the second ECG was performed during an episode of chest pain.

ECG of the Week - 27th February 2017 - Interpretation

The following ECG is from a 55yr old male who is having episodes of chest pain with increasing frequency. 

ECG of the Week - 27th February 2017

The following ECG is from a 55yr old male who is having episodes of chest pain with increasing frequency. 

ECG of the Week - 20th February 2017 - Interpretation

The following ECG is from a 20 yr old male who was brought to the Emergency Department following a motorbike accident in which he sustained a head injury. 
He has a GCS of 3, BP 160 systolic and divergent pupils.

ECG of the Week - 20th February 2017

The following ECG is from a 20 yr old male who was brought to the Emergency Department following a motorbike accident in which he sustained a head injury. 
He has a GCS of 3, BP 160 systolic and divergent pupils.

ECG of the Week - 13th February 2017 - Interpretation

This ECG is from a 91 yr old female who presented to a rural medical center, 260 km (160 miles) from the nearest tertiary hospital, complaining of weakness and difficulty standing. 

ECG of the Week - 13th February 2017

This ECG is from a 91 yr old female who presented to a rural medical center, 260 km (160 miles) from the nearest tertiary hospital, complaining of weakness and difficulty standing. 

ECG of the Week - 6th February 2017 - Interpretation

These ECG are from a 59yr old male who presented to the Emergency Department following 2 episodes of syncope. He had a long history of infrequent unexplained syncope over the prior 15 years. His only past medical history is diet controlled T2DM and he was taking no regular medications.

ECG of the Week - 6th February 2017

These ECG are from a 59yr old male who presented to the Emergency Department following 2 episodes of syncope. He had a long history of infrequent unexplained syncope over the prior 15 years. His only past medical history is diet controlled T2DM and he was taking no regular medications.

ECG of the Week - 30th January 2017 - Interpretation

The following ECG's are from a 55yr old male who presented following a brief period of exertional dizziness and chest pain. He was pain-free on arrival to the Emergency Department. Past medical history of T2DM, hypertension, ex-smoker and hypercholesterolaemia. The ECG's were taken 15 mins apart and the patient remained asymptomatic through-out.

ECG of the Week - 30th January 2017

The following ECG's are from a 55yr old male who presented following a brief period of exertional dizziness and chest pain. He was pain-free on arrival to the Emergency Department. Past medical history of T2DM, hypertension, ex-smoker and hypercholesterolaemia. The ECG's were taken 15 mins apart and the patient remained asymptomatic through-out.

ECG of the Week - 23rd January 2016 - Interpretation

The following ECG is from a 86yr old male who presented to the Emergency Department following an episode of syncope.

ECG of the Week - 23rd January 2016

The following ECG is from a 86yr old male who presented to the Emergency Department following an episode of syncope.

ECG of the Week - 16th January 2017 - Interpretation

These ECG's are from a 62yr old male who was under out-patient investigation following an episode of chest pain. He was referred to the Emergency Department after completing an exercise stress test in which he became symptomatic with chest pain. On arrival to the Emergency Department he was pain free.

ECG of the Week - 16th January 2017

These ECG's are from a 62yr old male who was under out-patient investigation following an episode of chest pain. He was referred to the Emergency Department after completing an exercise stress test in which he became symptomatic with chest pain. On arrival to the Emergency Department he was pain free.

ECG of the Week - 9th January 2017 - Interpretation

This ECG is from a 59 yr old male who presented with episodic chest pain for the last 2 weeks which had been constant for the last 1 hour. He has a past medical history of hypertension.

ECG of the Week - 9th January 2017

This ECG is from a 59 yr old male who presented with episodic chest pain for the last 2 weeks which had been constant for the last 1 hour. He has a past medical history of hypertension.

ECG of the Week - 2nd January 2016 - Interpretation

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.