ECG of the Week - 31st December 2018

The following ECG is from a 34 yr old female who presented following thyroid surgery complaining of cramping.

ECG of the Week - 24th December 2018 - Interpretation

The following ECG is from a 30 yr old male who presented with a 48 hour history of positional left sided chest pain. He is normally fit and well.

ECG of the Week - 24th December 2018

The following ECG is from a 30 yr old male who presented with a 48 hour history of positional left sided chest pain. He is normally fit and well.

ECG of the Week - 17th December 2018 - Interpretation

The following ECG is from a 55 yr old female who presented complaining of chest  pain and dysponea.

ECG of the Week - 17th December 2018

The following ECG is from a 55 yr old female who presented complaining of chest  pain and dysponea.

ECG of the Week - 10th December 2018 - Interpretation

The following ECG is from an 80 yr old male who presented with chest pain.

 

ECG of the Week - 10th December 2018

The following ECG is from an 80 yr old male who presented with chest pain.

ECG of the Week - 3rd December 2018 - Interpretation

The following ECG is from a 53 yr old male who presented to the Emergency Department following an episode of chest pain and shortness of breath. On arrival the patient was pain free and the following ECG was performed.

ECG of the Week - 3rd December 2018

The following ECG is from a 53 yr old male who presented to the Emergency Department following an episode of chest pain and shortness of breath. On arrival the patient was pain free and the following ECG was performed.

ECG of the Week - 26th November 2018 - Interpretation

The following ECG is from a 67 yr old male who presented following an episode of syncope. He had a recent hospital admission for dizziness.

ECG of the Week - 26th November 2018

The following ECG is from a 67 yr old male who presented following an episode of syncope. He had a recent hospital admission for dizziness.

ECG of the Week - 19th November 2018 - Interpretation

The following pre-hospital ECG is from a 30 yr male sent in from dysponea and chest tightness, with concern regarding bradycardia.

ACEM ASM Presentation 2018

Thank you to everyone who attended my ECG quiz at the ACEM ASM 2018 in Perth.

I've been asked by a few people if I'd be willing to share the slides so I've put a link to them in pdf format below.

https://drive.google.com/open?id=1iCGG_6fatrd5d4dkgAAMmhZtZBtwGZAC

Special thanks to my colleagues at JHC who constantly supply me with excellent ECG cases, to Dr Steve Smith (http://hqmeded-ecg.blogspot.com/) who very kindly allowed me to use some of his ECG cases and to the Life in the Fast Lane team for their excellent ECG library (https://litfl.com/ecg-library/) which I borrowed some ECG's from.


Disclaimer: I'm new to Google Drive if the link above doesn't work leave a comment or email me and I'll try to fix it.

ECG of the Week - 19th November 2018

The following pre-hospital ECG is from a 30 yr male sent in from dysponea and chest tightness, with concern regarding bradycardia.

ECG of the Week - 12th November 2018 - Interpretation

This ECG is from 79 y r old female who presented following a fall at home.

ECG of the Week - 12th November 2018

This ECG is from 79 y r old female who presented following a fall at home.

ECG of the Week - 5th November 2018 - Interpretation

This ECG is from a 70 yr old male with a history of hypertension who presented with epigastric pain.

ECG of the Week - 5th November 2018

This ECG is from a 70 yr old male with a history of hypertension who presented with epigastric pain.

ECG of the Week - 29th October 2018 - Interpretation

This ECG is from an 81 yr old female who presented complaining of intermittent chest pain and dysponea. She has a history of T2DM, hypertension and asthma.

ECG of the Week - 29th October 2018

This ECG is from an 81 yr old female who presented complaining of intermittent chest pain and dysponea. She has a history of T2DM, hypertension and asthma.

ECG of the Week - 22nd October 2018 - Interpretation

This ECG is from a 65 yr old male who presented to a remote medical center, ~200 km from the nearest metropolitan hospital, complaining of chest pain.

ECG of the Week - 22nd October 2018

This ECG is from a 65 yr old male who presented to a remote medical center, ~200 km from the nearest metropolitan hospital, complaining of chest pain.

ECG of the Week - 15th October 2018 - Interpretation

This ECG is from a 45 yr old female who presented after an episode of chest pain. She has no past medical history and takes no regular medications. She has a positive family history of cardiac disease.

ECG of the Week - 15th October 2018

This ECG is from a 45 yr old female who presented after an episode of chest pain. She has no past medical history and takes no regular medications. She has a positive family history of cardiac disease.

ECG of the Week - 8th October 2018 - Interpretation

This ECG is from a 50 yr old female who presented complaining of palpitations for the last few hours. She has no past medical history and takes no regular medications.

ECG of the Week - 8th October 2018

This ECG is from a 50 yr old female who presented complaining of palpitations for the last few hours. She has no past medical history and takes no regular medications.

ECG of the Week - 1st October 2018 - Interpretation

The following ECG is from a 81 yr old male who presented feeling generally unwell and nauseous. He has a history of chronic AF, T2DM and hypertension.

ECG of the Week - 1st October 2018

The following ECG is from a 81 yr old male who presented feeling generally unwell and nauseous. He has a history of chronic AF, T2DM and hypertension.

ECG of the Week - 24th September 2018 - Interpretation

This ECG is from a 15 year old male who presented with episodes of symmetrical hands turning cold and blue (symmetrically) which lasted for a few hours before improving. No prior past medical history, no regular medications. Very fit and active.

ECG of the Week - 24th September 2018

This ECG is from a 15 year old male who presented with episodes of symmetrical hands turning cold and blue (symmetrically) which lasted for a few hours before improving. No prior past medical history, no regular medications. Very fit and active.

ECG of the Week - 17th September 2018 - Interpretation

The following ECG is from a 72 year old female who presented to the Emergency Department complaining of dizziness. She has a history of ischaemic cardiac disease, atrial fibrillation and diabetes.

ECG of the Week - 17th September 2018

The following ECG is from a 72 year old female who presented to the Emergency Department complaining of dizziness. She has a history of ischaemic cardiac disease, atrial fibrillation and diabetes.

ECG of the Week - 10th September 2018 - Interpretation

The following ECG is from a 95 year old male who presented following an episode of syncope.

ECG of the Week - 10th September 2018

The following ECG is from a 95 year old male who presented following an episode of syncope.

ECG of the Week - 3rd September 2018 - Interpretation

The following ECG is from a 69 year old male who presented to the Emergency Department after an episode of abnormal limb movement.

ECG of the Week - 3rd September 2018

The following ECG is from a 69 year old male who presented to the Emergency Department after an episode of abnormal limb movement.

ECG of the Week - 27th August 2018 - Interpretation

The following ECG is from a 86 yr old male who presented to the Emergency Department complaining of nausea.

ECG of the Week - 27th August 2018

The following ECG is from a 86 yr old male who presented to the Emergency Department complaining of nausea.

ECG of the Week - 20th August 2018 - Interpretation

This ECG is from a 71 yr old male who presented with chest pain for the last 90 minutes. He has a history of T2DM and hypertension.

ECG of the Week - 20th August 2018

This ECG is from a 71 yr old male who presented with chest pain for the last 90 minutes. He has a history of T2DM and hypertension.

ECG of the Week - 13th August 2018 - Interpretation

The following ECG is from a 72 yr old male who presented with chest pain and palpitations. He has a history of hypertension and hypercholesterolaemia.

ECG of the Week - 13th August 2018

The following ECG is from a 72 yr old male who presented with chest pain and palpitations. He has a history of hypertension and hypercholesterolaemia.

ECG of the Week - 6th August 2018 - Interpretation

This ECG is from a 78 yr old female with a history if hypertension and hypercholesterolaemia who presented with 2 hours of central chest pain.

ECG of the Week - 6th August 2018

This ECG is from a 78 yr old female with a history if hypertension and hypercholesterolaemia who presented with 2 hours of central chest pain.

ECG of the Week - 30th July 2018 - Interpretation

This ECG is from a 69 yr old female who presented complaining of palpitations. She has a background of paroxysmal AF and her medications include a NOAC.

ECG of the Week - 30th July 2018

This ECG is from a 69 yr old female who presented complaining of palpitations. She has a background of paroxysmal AF and her medications include a NOAC.

ECG of the Week - 23rd July 2018 - Interpretation

The following ECG is from a 71yr old male who presented with several episodes of ischaemic sounding chest pain on a background of known ischaemic cardiac disease.

ECG of the Week - 23rd July 2018

The following ECG is from a 71yr old male who presented with several episodes of ischaemic sounding chest pain on a background of known ischaemic cardiac disease.

ECG of the Week - 16th July 2018 - Interpretation

This ECG is from a 50yr old female who presented with diarrhoea and vomiting on a background of prior paroxysmal AF and anxiety disorder. She takes sotalol and a NOAC.

ECG of the Week - 16th July 2018

This ECG is from a 50yr old female who presented with diarrhoea and vomiting on a background of prior paroxysmal AF and anxiety disorder. She takes sotalol and a NOAC.

ECG of the Week - 9th July 2018 - Interpretation

This ECG is from a 81yr old female who presented with lethargy and weakness. She has a history of schistosomiasis with resultant liver disease, portal hypertension and ascites.

ECG of the Week - 9th July 2018

This ECG is from a 81yr old female who presented with lethargy and weakness. She has a history of schistosomiasis with resultant liver disease, portal hypertension and ascites.

 

ECG of the Week - 2nd July 2018 - Interpretation

The following ECG is from a 57yr old female who presented with chest pain on a background of known mitral stenosis secondary to rheumatic fever.

 

ECG of the Week - 2nd July 2018

The following ECG is from a 57yr old female who presented with chest pain on a background of known mitral stenosis secondary to rheumatic fever.

ECG of the Week - 25th June 2018 - Interpretation

This ECG is from a 27yr old female who presents with a 10 day history of intermittent palpitations. She is normally fit and well with no known medical issues.

 

ECG of the Week - 25th June 2018

This ECG is from a 27yr old female who presents with a 10 day history of intermittent palpitations. She is normally fit and well with no known medical issues.

 

ECG of the Week - 18th June 2018 - Interpretation

This ECG is from a 42 yr old male with known pre-excitation who presented with a 3 day history of episodic palpitations, dizziness and GI illness.

ECG of the Week - 18th June 2018

This ECG is from a 42 yr old male with known pre-excitation who presented with a 3 day history of episodic palpitations, dizziness and GI illness.

ECG of the Week - 11th June 2018 - Interpretation

This ECG is from a 60 yr old male with known haemochromatosis who presented with a 1 week history of intermittent cardiac sounding chest pain.

ECG of the Week - 11th June 2018

This ECG is from a 60 yr old male with known haemochromatosis who presented with a 1 week history of intermittent cardiac sounding chest pain.

ECG of the Week - 4th June 2018 - Interpretation

The following ECG is from an 81 yr old female who presented with a 4 day history of RUQ pain on a background of known gallstones. 

ECG of the Week - 4th June 2018

The following ECG is from an 81 yr old female who presented with a 4 day history of RUQ pain on a background of known gallstones. 

ECG of the Week - 28th May 2018 - Interpretation

This ECG is from a 68yr old male with a background of prostate carcinoma who presented with pleuritic chest pain and dysponea.

ECG of the Week - 28th May 2018

This ECG is from a 68yr old male with a background of prostate carcinoma who presented with pleuritic chest pain and dysponea.

ECG of the Week - 21st May 2018 - Interpretation

This ECG is from a 42yr old female who presented complaining of palpitations following an elective procedure in general anaesthetic earlier that day.

ECG of the Week - 21st May 2018

This ECG is from a 42yr old female who presented complaining of palpitations following an elective procedure in general anaesthetic earlier that day.

ECG of the Week - 14th May 2018 - Interpretation

This ECG is from a 68 yr male who presented with 24 hours of dysponea and palpitations.
No past medical history of note and he takes no regular medications.

ECG of the Week - 14th May 2018

This ECG is from a 68 yr male who presented with 24 hours of dysponea and palpitations.
No past medical history of note and he takes no regular medications.

ECG of the Week - 7th May 2018 - Interpretation

The following ECG is from an unknown female who was found collapsed. She has had a seizure en route to the hospital and her current GCS is 7 (E=1 M=4 V=2).

ECG of the Week - 7th May 2018

The following ECG is from an unknown female who was found collapsed. She has had a seizure en route to the hospital and her current GCS is 7 (E=1 M=4 V=2).

ECG of the Week - 30th April 2018 - Interpretation

The following ECG is from a 76 yr old male who presented after experiencing a period of tachyarrhythmia at home. He has a past history of paroxysmal atrial fibrillation, CABG, diabetes and has undergone a MAZE procedure in the last 12 months.

ECG of the Week - 30th April 2018

The following ECG is from a 76 yr old male who presented after experiencing a period of tachyarrhythmia at home. He has a past history of paroxysmal atrial fibrillation, CABG, diabetes and has undergone a MAZE procedure in the last 12 months.

ECG of the Week - 23rd April 2018 - Interpretation

The following ECG is from a 41yr old male who was referred to telehealth from a rural center ~1500 km  (930 miles) from the nearest major hospital.

ECG of the Week - 23rd April 2018

The following ECG is from a 41yr old male who was referred to telehealth from a rural center ~1500 km  (930 miles) from the nearest major hospital.

ECG of the Week - 16th April 2018 - Interpretation

The following ECG is from a 19 yr old referred by their GP for investigation of palpitations found at a routine medical review. The patient is asymptomatic with no past medical history or regular medications.

ECG of the Week - 16th April 2018

The following ECG is from a 19 yr old referred by their GP for investigation of palpitations found at a routine medical review. The patient is asymptomatic with no past medical history or regular medications.

ECG of the Week - 9th April 2018 - Interpretation

The following ECG is from an 18 month old female following a potential accidental medication ingestion.

ECG of the Week - 9th April 2018

The following ECG is from an 18 month old female following a potential accidental medication ingestion.

ECG of the Week - 2nd April 2018 - Interpretation


The following ECG is from a 74yr old male who presented following several episodes of chest pain and dizziness. 

ECG of the Week - 2nd April 2018

The following ECG is from a 74yr old male who presented following several episodes of chest pain and dizziness. 

ECG of the Week - 26th March 2018 - Interpretation

The following ECG is from a 45 yr old male who presents following an Out-of-Hospital Cardiac Arrest (OOHCA). He regained cardiac output en route to the Emergency Department.

ECG of the Week - 26th March 2018

The following ECG is from a 45 yr old male who presents following an Out-of-Hospital Cardiac Arrest (OOHCA). He regained cardiac output en route to the Emergency Department.

ECG of the Week - 19th March 2018 - Interpretation

The following ECG is from an 85 yr old male who presented with dizziness and an abnormal gait.

ECG of the Week - 19th March 2018

The following ECG is from an 85 yr old male who presented with dizziness and an abnormal gait.

ECG of the Week - 12th March 2018 - Interpretation

The following ECG is from a 76 yr old male who presented with a 3 week history of progressive shortness of breath and occasional chest heaviness.

ECG of the Week - 12th March 2018

The following ECG is from a 76 yr old male who presented with a 3 week history of progressive shortness of breath and occasional chest heaviness.

ECG of the Week - 5th March 2018 - Interpretation

The following ECG is from a 35 yr old male who presented to the Emergency Department following a brief episode of atypical chest pain.

ECG of the Week - 5th March 2018

The following ECG is from a 35 yr old male who presented to the Emergency Department following a brief episode of atypical chest pain.

ECG of the Week - 26th February 2018 - Interpretation

The following ECG is from a 74yr old male who presented following an episode of 10 mins of chest pain with associated dysponea. He has a medical history of T2DM, hypertension and TCC bladder.

ECG of the Week - 26th February 2018

The following ECG is from a 74yr old male who presented following an episode of 10 mins of chest pain with associated dysponea. He has a medical history of T2DM, hypertension and TCC bladder.

ECG of the Week - 19th February 2018 - Interpretation

The following ECG is from a 57 yr old male who presented to the Emergency Department complaining of chest pain for 1 hour. He is an ex-smoker and has a history of hypertension and hypercholesterolaemia.

ECG of the Week - 19th February 2018

The following ECG is from a 57 yr old male who presented to the Emergency Department complaining of chest pain for 1 hour. He is an ex-smoker and has a history of hypertension and hypercholesterolaemia.

ECG of the Week - 12th February 2018 - Interpretation

The following ECG is from a 12 yr old male who presented to the Emergency Department following an episode of palpitations and near-syncope. he has no past medical history.

ECG of the Week - 12th February 2018

The following ECG is from a 12 yr old male who presented to the Emergency Department following an episode of palpitations and near-syncope. he has no past medical history.

ECG of the Week - 5th February 2018 - Interpretation

The following ECG is from a 35 yr old male who presented with 1 hour of central severe chest pain. He has a past medical history of Type 2 Diabetes and a positive family history. He had recently been unwell with a febrile illness.

ECG of the Week - 5th February 2018

The following ECG is from a 35 yr old male who presented with 1 hour of central severe chest pain. He has a past medical history of Type 2 Diabetes and a positive family history. He had recently been unwell with a febrile illness.

ECG of the Week - 29th January 2018 - Interpretation

The following ECG is from a 60 yr old male who presented with several weeks of diarrhoeal illness following foreign travel. He has a past medical history of ischaemic cardiomyopathy. His medications include warfarin, beta-blocker, PPI, ACE inhibitor and diuretics.

ECG of the Week - 29th January 2018

The following ECG is from a 60 yr old male who presented with several weeks of diarrhoeal illness following foreign travel. He has a past medical history of ischaemic cardiomyopathy. His medications include warfarin, beta-blocker, PPI, ACE inhibitor and diuretics.

ECG of the Week - 22rd January 2018 - Interpretation

The following ECG is from a 78 yr old female who presented to the Emergency Department with a history of progressively worsening dysponea and peripheral oedema. Her past medical history includes ischaemic heart disease and hypertension.

ECG of the Week - 22rd January 2018

The following ECG is from a 78 yr old female who presented to the Emergency Department with a history of progressively worsening dysponea and peripheral oedema. Her past medical history includes ischaemic heart disease and hypertension.

ECG of the Week - 15th January 2018 - Interpretation

The following ECG is from a 63 yr old female who presented with a 3 day history of colicky right upper quadrant abdominal pain. She is normally fit and well and has no prior past medical history.

ECG of the Week - 15th January 2018

The following ECG is from a 63 yr old female who presented with a 3 day history of colicky right upper quadrant abdominal pain. She is normally fit and well and has no prior past medical history.

ECG of the Week - 8th January 2018 - Interpretation

The following ECG is from a 31 yr old female who is 5 days post-partum she was brought to the Emergency Department following a episode of collapse. On arrival to the Emergency Department she was hypotensive ( Systolic BP ~80 mmHg) with an altered conscious level complaining of chest pain and headache.

ECG of the Week - 8th January 2018

The following ECG is from a 31 yr old female who is 5 days post-partum she was brought to the Emergency Department following a episode of collapse. On arrival to the Emergency Department she was hypotensive ( Systolic BP ~80 mmHg) with an altered conscious level complaining of chest pain and headache.

ECG of the Week - 1st January 2018 - Interpretation

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