ECG of the week 27th November

The following ECG is from a 62-year-old man who presented following an MVA. He has collided with a tree at 80km/hr with impact to his anterior chest wall on the steering wheel and significant cabin intrusion requiring extrication.

He is complaining of central chest pain and dyspnoea and is unable to recount how the accident occurred. He is hemodynamically stable.

His ECG is performed:

Describe and interpret his ECG. How will you manage this patient?

ECG of the Week – 28th August

The following ECG is from a 35-year-old man who has presented with exertional dyspnoea and presyncope. He has no chest pain. He has a history of congenital heart disease which was operatively repaired in childhood.

His GCS is 15, BP 135/78, RR 16, Sats 99% RA.

Describe and interpret his ECG.

ECG of the Week – 21st August

The following ECG is from a 50-year-old man with no past medical history. He has a history of acute onset of palpitations 20 minutes ago with associated chest tightness. There is no history of syncope.

His vital signs are as follows: BP 115/60 RR 20 Sats 99% RA

Interpret the ECG and provided your management.

Thanks to Dr Josh Ho for providing the ECG.


ECG of the Week 31st July

The following ECG is from a 67-year-old man who presents with dizziness and fatigue.

He has a past history of ischaemic heart disease, hypertension and hypercholesterolaemia.

What is your diagnosis and how will you manage this patient?

ECG of the Week – July 17th

The following ECG is from a 56-year-old lady who presented with chest pain and dyspnoea.

Her observations are as follows BP 90/55, RR 28, Sats 90% RA, Temp 37.7

Interpret her ECG, provide your differential diagnosis and rationale.

ECG of the Week – 10th July

The following ECG is from a 74-year-old man with one hour of chest pain. He has no cardiac risk factors and denies any significant medical history.

His observations are as follows: HR 58, BP 133/75, Sats 99% RA, afebrile, RR 20.

Describe and interpret his ECG.

ECG of the Week – June 26th

The following ECG is from a 48-year-old man who presented feeling generally unwell and “restless”. He has been suffering from a gastrointestinal illness for the past 4 days.

Interpret his ECG and provide a differential diagnosis for your findings. 

 

ECG of the Week 19th June 2024

The following ECG is from a 38-year-old type 1 diabetic who has come by ambulance with epigastric pain, dyspnoea and feeling generally unwell.

What are the key ECG features?

What are the differentials for these features?