ECGs

A 45-year-old patient is admitted to the A & E department having had severe central chest pain for 1 h. There are no signs of heart failure, and this is his ECG.

A 60-year-old woman is seen in the outpatient department, complaining of breathlessness. There are no abnormal physical findings.

This ECG was recorded from a 20-year-old man who had had attacks of a fast and irregular heartbeat for several years. What is the diagnosis and what would you do next?

A 70-year-old man is sent to the clinic because of rather vague attacks of dizziness, which occur approximately once per week. Otherwise he is well, and there are no abnormalities on examination.

A 60-year-old man complained of severe central chest pain, and a few minutes later became extremely breathless and collapsed. He was brought to the A & E department, where his heart rate was found to be 165/min, his blood pressure was unrecordable and he had signs of left ventricular failure.

A 50-year-old man, who had come to the A & E department with chest pain, collapsed while his ECG was being recorded.

A 60-year-old man is seen in the outpatient department complaining of breathlessness which began quite suddenly 2 months previously. He had had no chest pain.

This ECG was recorded from a 60-year-old man seen in the clinic because of severe breathlessness, which had developed over several years. His jugular venous pressure is raised. What do you think the problem is?

45-year-old woman had complained of occasional attacks of palpitations for 20 years, and eventually this ECG was recorded during an attack. What are the palpitations due to, and what would you do?

This ECG was recorded from a 65-year-old woman admitted to hospital as an emergency because of severe chest pain for 1 h. What does the ECG show?