Friday 30 December 2016

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.

Wednesday 28 December 2016

Friday 23 December 2016

ECG of the Week - 26th December 2016

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

Wednesday 21 December 2016

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.

Friday 16 December 2016

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.

Wednesday 14 December 2016

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'. 

Friday 9 December 2016

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'. 

Wednesday 7 December 2016

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.

Friday 2 December 2016

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.

Wednesday 30 November 2016

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.

Friday 25 November 2016

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.

Wednesday 23 November 2016

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.

Friday 18 November 2016

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.

Wednesday 16 November 2016

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. 

Friday 11 November 2016

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. 

Wednesday 9 November 2016

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.

Friday 4 November 2016

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.

Wednesday 2 November 2016

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.

Friday 28 October 2016

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.

Wednesday 26 October 2016

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.


Friday 21 October 2016

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.

Wednesday 19 October 2016

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.

Friday 14 October 2016

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.

Wednesday 12 October 2016

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 ?

Friday 7 October 2016

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 ?

Wednesday 5 October 2016

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.

Friday 30 September 2016

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.

Wednesday 28 September 2016

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.

Friday 23 September 2016

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.

Wednesday 21 September 2016

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 ?

Friday 16 September 2016

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 ?

Wednesday 14 September 2016

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.

Friday 9 September 2016

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.

Wednesday 7 September 2016

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.

Friday 2 September 2016

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.

Wednesday 31 August 2016

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.

Friday 26 August 2016

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.

Wednesday 24 August 2016

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.

Friday 19 August 2016

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.

Wednesday 17 August 2016

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.

Friday 12 August 2016

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.

Wednesday 10 August 2016

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.

Friday 5 August 2016

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.

Wednesday 3 August 2016

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.

Saturday 30 July 2016

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.

Tuesday 26 July 2016

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.

Friday 22 July 2016

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.

Wednesday 20 July 2016

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.

Saturday 16 July 2016

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.

Tuesday 12 July 2016

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.

Sunday 10 July 2016

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.

Wednesday 6 July 2016

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.

Saturday 2 July 2016

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.

Saturday 25 June 2016

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.

Friday 17 June 2016

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.

Saturday 11 June 2016

Friday 3 June 2016

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.

Wednesday 1 June 2016

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.

Friday 27 May 2016

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.

Wednesday 25 May 2016

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.

Friday 20 May 2016

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.

Friday 13 May 2016

ECG of the Week - 16th May 2016

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

Wednesday 11 May 2016

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.


Friday 6 May 2016

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.


Wednesday 4 May 2016

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.

Friday 29 April 2016

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.

Wednesday 27 April 2016

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.

Friday 22 April 2016

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.

Wednesday 20 April 2016

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.

 

Saturday 16 April 2016

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.


Wednesday 13 April 2016

Friday 8 April 2016

Wednesday 6 April 2016

Friday 1 April 2016

Wednesday 30 March 2016

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.

Saturday 26 March 2016

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.

Wednesday 23 March 2016

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.

Friday 18 March 2016

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.

Wednesday 16 March 2016

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.

Friday 11 March 2016

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.

Wednesday 9 March 2016

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.

Friday 4 March 2016

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.

Wednesday 2 March 2016

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.


Friday 26 February 2016

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.


Wednesday 24 February 2016

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.

Friday 19 February 2016

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.

Wednesday 17 February 2016

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.

Friday 12 February 2016

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.

Wednesday 10 February 2016

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.

Friday 5 February 2016

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.

Friday 29 January 2016

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.

Wednesday 27 January 2016

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.

Friday 22 January 2016

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.

Friday 15 January 2016

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.

Friday 8 January 2016

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.

Wednesday 6 January 2016

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.

Saturday 2 January 2016

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.