Friday 28 December 2018

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.

Wednesday 26 December 2018

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.

Friday 21 December 2018

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.

Wednesday 19 December 2018

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.

Friday 14 December 2018

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.

Wednesday 12 December 2018

Friday 7 December 2018

Wednesday 5 December 2018

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.

Friday 30 November 2018

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.

Wednesday 28 November 2018

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.

Friday 23 November 2018

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.

Wednesday 21 November 2018

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.

Tuesday 20 November 2018

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.

Friday 16 November 2018

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.

Wednesday 14 November 2018

Friday 9 November 2018

Wednesday 7 November 2018

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.

Friday 2 November 2018

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.

Wednesday 31 October 2018

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.

Friday 26 October 2018

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.

Wednesday 24 October 2018

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.

Friday 19 October 2018

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.

Wednesday 17 October 2018

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.

Friday 12 October 2018

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.

Wednesday 10 October 2018

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.

Friday 5 October 2018

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.

Wednesday 3 October 2018

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.

Friday 28 September 2018

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.

Wednesday 26 September 2018

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.

Friday 21 September 2018

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.

Wednesday 19 September 2018

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.

Friday 14 September 2018

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.

Wednesday 12 September 2018

Friday 7 September 2018

ECG of the Week - 10th September 2018

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

Wednesday 5 September 2018

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.

Friday 31 August 2018

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.

Wednesday 29 August 2018

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.

Friday 24 August 2018

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.

Wednesday 22 August 2018

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.

Friday 17 August 2018

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.

Wednesday 15 August 2018

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.

Friday 10 August 2018

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.

Wednesday 8 August 2018

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.

Friday 3 August 2018

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.

Wednesday 1 August 2018

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.

Friday 27 July 2018

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.

Wednesday 25 July 2018

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.

Friday 20 July 2018

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.

Wednesday 18 July 2018

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.

Friday 13 July 2018

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.

Wednesday 11 July 2018

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.


Friday 6 July 2018

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.
 

Wednesday 4 July 2018

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.
 

Friday 29 June 2018

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.

Wednesday 27 June 2018

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.
 

Friday 22 June 2018

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.
 

Wednesday 20 June 2018

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.

Friday 15 June 2018

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.

Wednesday 13 June 2018

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.

Friday 8 June 2018

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.

Wednesday 6 June 2018

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. 

Friday 1 June 2018

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. 

Wednesday 30 May 2018

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.


Friday 25 May 2018

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.

Wednesday 23 May 2018

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.

Friday 18 May 2018

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.

Wednesday 16 May 2018

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.

Friday 11 May 2018

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.

Wednesday 9 May 2018

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).

Friday 4 May 2018

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).

Wednesday 2 May 2018

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.

Friday 27 April 2018

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.

Wednesday 25 April 2018

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.

Friday 20 April 2018

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.

Wednesday 18 April 2018

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.

Friday 13 April 2018

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.

Wednesday 11 April 2018

ECG of the Week - 9th April 2018 - Interpretation

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

Friday 6 April 2018

ECG of the Week - 9th April 2018

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

Wednesday 4 April 2018

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. 

Friday 30 March 2018

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. 

Wednesday 28 March 2018

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.

Friday 23 March 2018

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.

Wednesday 21 March 2018

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.

Friday 16 March 2018

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.

Wednesday 14 March 2018

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.

Friday 9 March 2018

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.

Wednesday 7 March 2018

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.

Friday 2 March 2018

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.

Wednesday 28 February 2018

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.

Friday 23 February 2018

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.

Wednesday 21 February 2018

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.

Friday 16 February 2018

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.

Wednesday 14 February 2018

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.

Friday 9 February 2018

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.

Wednesday 7 February 2018

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.

Friday 2 February 2018

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.

Wednesday 31 January 2018

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.

Friday 26 January 2018

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.

Wednesday 24 January 2018

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.

Friday 19 January 2018

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.

Wednesday 17 January 2018

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.

Friday 12 January 2018

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.

Wednesday 10 January 2018

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.

Friday 5 January 2018

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.

Wednesday 3 January 2018

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.