The following ECG is from an 80-year-old man who has been referred by his GP with worsening renal failure. He has a history of atrial fibrillation with bradycardia, for which he has a pacemaker. His medications include metoprolol 25mg BD.
Category Archives: ECG of the Week
ECG of the Week – April 10th 2024
ECG of the Week March 20th
The following ECG is from a 65 year old lady who has presented with two hours of central chest pain. She has a history of hypertension and is a current smoker.
What are the key features on her ECG?
Outline your management for the patient.
ECG of the Week – March 13th 2024
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The following ECG was taken from a 36-year-old marathon runner presenting to the ED with acute gastroenteritis.
He was completely asymptomatic at the time the ECGs were taken, with normal blood pressure and no chest pain, palpitations or dizziness. Electrolytes were normal.  Continue reading
ECG of the Week – Feb 28th 2024
The following ECG is from a 40-year-old man who presents overnight with left sided sharp chest pain which has woken him from sleep. He describes the pain as radiating into his left arm. He looks well from the end of the bed and his observations are unremarkable.
He has a past medical history which is significant for hypertension, hypercholesterolaemia and a strong family history of ischaemic heart disease.
What are the key abnormalities and how will you manage this patient?
ECG of the Week – 21st February 2024
The following ECG is from a 60 year old lady with chest pain and dyspnoea a few hours after finishing a triathlon. At the scene she was hypothermic at 32 degrees.
On arrival to ED she has no chest pain but ongoing dyspnoea and her temperature has normalised.
This is her initial ECG, what are the key abnormalities and how will you manage the patient?
With thanks to Dr Lorna Cronin for ECG and answer.
ECG case for the 24th of January 2024
71 y old male is coming with palpitations, haemodynamically stable.
Answers for ECG case for the 17th of January 2024
This ECG represents fever induced Brugada syndrome.
Needs aggressive treatment of the fever and Cardiology referral for ICD.
Additional information from LITFL:
Brugada Syndrome Key Points
ECG case for the 17th of January 2024
51 year-old-man with 3 days history of fevers, productive cough, malaise, chest pain and a syncopal episode. His ECG is:
Answers for: ECG case for the 10th of January 2024
This ECG is typical posterior MI with deep horizontal STD in V1-V3. Patient was transferred to SCGH cathlab priority 1, loaded with Aspirin 300 mg and Heparin 5000 U iv as per their cardiology advice.