ECGs

A 70-year-old man, who had had angina for several years, began to complain of attacks of dizziness. This is his ECG. What does it show and what would you do?

A 50-year-old man, who had complained of attacks of dizziness and palpitations for several years, collapsed at work and was brought to the A & E department. What's your interpretation and diagnosis?

This ECG was recorded from a 60-year-old man with no symptoms, who wanted a private pilot’s licence. Is the ECG normal?

A 50-year-old man was admitted to hospital as an emergency with chest pain; he was not aware of a rapid heart rate. Shortly after this ECG was recorded, his heart rate suddenly slowed and his ECG was then normal.

This is the ECG from a 25-year-old man who complained of episodes of fast, regular, palpitations associated with breathlessness and dizziness. There were no abnormalities on examination other than a slow and irregular pulse. What is the diagnosis and how can his problem be treated?

A 70-year-old woman, admitted to hospital because of increasing heart failure of uncertain cause, collapsed and was found to have a very rapid pulse and a low blood pressure. This is her ECG. She recovered spontaneously. What is this rhythm, and what would you do?

This ECG was recorded from a 45-year-old man, who had been admitted to a coronary care unit with a myocardial infarction and who was recovering well. What is the rhythm, and what would you do?

A 32-year-old woman, who had had a normal pregnancy and delivery 3 months previously, was seen in the outpatient department complaining of severe breathlessness and dizziness on exertion.

This ECG was recorded from a 55-year-old man who was admitted to hospital as an emergency with severe central chest pain that had been present for about an hour. He was pale, cold and clammy; his blood pressure was 100/80, but there were no signs of heart failure.

A 30-year-old man, who had had brief episodes of palpitations for at least 10 years, was seen during an attack in the A & E department and this is his ECG. What is the rhythm, and what would you do immediately, and in the long term?