ECGs

A 30-year-old man, who had had attacks of palpitations for several years, was seen during an attack, and this ECG was recorded. He was breathless and his blood pressure was unrecordable.

An 18-year-old student complains of occasional attacks of palpitations. These start suddenly without provocation; the heartbeat seems regular and is ‘too fast to count’.

This ECG was recorded from a 30-year-old woman with severe rheumatoid arthritis, who was admitted to hospital with central chest pain. She was a non-smoker and had no risk factors for coronary artery disease. What do you think is going on?

A 70-year-old man is sent to the outpatient department because of attacks of dizziness. What abnormalities does his ECG show, and what treatment is needed?

A 60-year-old man who complains of ankle swelling is found to have an irregular pulse, a blood pressure of 115/70, an enlarged heart, and signs of congestive cardiac failure. What does the ECG show? He is untreated – how would you manage him?

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?