ECG of the Week 25th January 2023

The following ECG was obtained from a 70 year old man with a history of chronic renal impairment, pre-dialysis. Relevant medications include verapamil 240mg daily. He presented to hospital complaining of palpitations. His blood pressure is 140/70 and his serum potassium is 5.2mmol/L. Please describe the ECG and the outline your management of the patient. 

ECG of the Week 4th January 2023

The following is an ECG of a 70 year old man who was in a tachyarrhythmia about an hour ago at a rate of approximately 160bpm, who failed adenosine 6mg and 12mg, and was subsequently administered 10mmol of MgSO4 and 500microg of loading Digoxin and 5mg IV metoprolol. Please describe the patient’s ECG now.

ECG of the Week 28th December 2022

This is one of the serial ECGs on a 66 year old man who presented to ED following post-coital exertion. He has a history of multiple myeloma diagnosed 5 years ago and receives 4 weekly cycles of Carfilzomib/Dexamethasone therapy but has no other medical history. On the mention of having a heart attack, the patient states he does not want to be resuscitated. Please interpret the ECG and lists your next steps in the management of this patient.

ECG of the Week 21st December 2022

This ECG was obtained from a 22 year old man who had taken a polypharmacy overdose 24 hours ago. He had suffered a bradycardic / asystolic arrest and is currently in the intensive care unit. At the time of this ECG being printed, the patient is off all medical therapy directed towards chronotropy / inotropy. Please describe and interpret the ECG and outline your next steps to continue safely managing this patient.