ECG Case 61
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?
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.
This ECG was recorded from a 75-year-old woman who complained of attacks of dizziness. What abnormality do yo see and what is its significance?
A 20-year-old student complains of palpitations. Attacks occur about once per year. They start suddenly, his heart feels very fast and regular, and he quickly feels breathless and faint. The attacks stop suddenly after a few minutes. What's your interpretation and what would you do?