ECG Case 63
This ECG was recorded from a 50-year-old man who was admitted to hospital as an emergency, having had chest pain characteristic of a myocardial infarction for 3 h. What does the ECG show and how should the patient be treated?
This ECG was recorded from a 50-year-old man who was admitted to hospital as an emergency, having had chest pain characteristic of a myocardial infarction for 3 h. What does the ECG show and how should the patient be treated?
This ECG is from a 39-year-old woman who complained of a recent sudden onset of breathlessness. She had no previous history of breathlessness, and no chest pain. Examination revealed nothing, other than a rapid heart rate. What is the diagnosis?
This ECG was recorded from a 40-year-old man who complained of breathlessness on climbing stairs. He was not aware of a fast heart rate and had had no chest pain. What would you do?
A 60-year-old man, who 3 years earlier had had a myocardial infarction followed by mild angina, was admitted to hospital with central chest pain that had been present for 1 h and had not responded to sublingual nitrates. What does his ECG show, and what would you do?
This ECG is from a 60-year-old man being treated as an outpatient for severe congestive cardiac failure. What do yo see this ECG and what would you do?
This ECG was recorded from a 48-year-old man who had had severe central chest pain for 1 hour. What does it show and what would you do?
Left Ventricular Hypertrophy (LVH) causes tall R waves in left sided and deep S waves in right sided leads. Always look for ‘strain’ pattern in left sided leads...
A 70-year-old man is admitted to hospital following the onset of severe central chest pain. What does it show and what treatment is needed?
A 70-year-old man presents with dizziness when playing golf. You find that he has a systolic heart murmur. What is the diagnosis and what do you do next?
Characteristic features of Atrial Flutter are: Atrial rate around 300/min; ‘Sawtooth’ baseline; AV block (commonly 2:1, but can be 3:1, 4:1 or variable). You should always suspect atrial flutter with 2:1 block when a patient has a regular tachycardia with a ventricular rate of about 150/min.