ECGs

This ECG was recorded in the A & E department from a 50-year-old man with severe central chest pain that radiated into his back. The pain had been present for 6 h. What do the ECG show and what would you do?

An 80-year-old woman, who has apparently been treated for heart failure for years, complains of nausea and vomiting. Does her ECG help her management?

This ECG was recorded from a healthy 25-year-old man during a routine medical examination. Any comments?

This ECG was recorded from a 30-year-old woman who complained of palpitations. Does it help in making a diagnosis?

A 70-year-old woman, from whom this ECG was recorded, was admitted to hospital with increasing congestive cardiac failure. What does the ECG show and what would you do?

A 70-year-old man was seen as an outpatient with symptoms and signs of heart failure. His problem had begun quite suddenly a few weeks previously, when he had had a few hours of dull central chest discomfort. What do his ECG show and what would you do?

A 65-year-old man is seen in the outpatient department complaining of breathlessness and chest pain that has the characteristics of angina. He is untreated. Does his ECG help with his diagnosis and management?

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?