Pulmonary and Pericardial
Acute right heart strain
- Grauer, K (2014) - ECG 2014 Pocket Brain, 6th edn, KG/EKG Press
- Wagner, GS and Strauss, DG (2013) - Marriott's Practical Electrocardiography, 12th edn, LWW
- Goldberger, A (2006) - Clinical Electrocardiography: A Simplified Approach, 9th edn, Elsevier
- Dr Smith's ECG Blog (2019) - A young woman with altered mental status and hypotension, (Accessed: 25/08/2019)
Groups of Signs
Variations: Pulmonary and Pericardial
This ECG is from a woman in her 30s who presented with altered mental status and syncope. She was hypotensive and tachycardic.
This ECG shows sinus tachycardia with concave ST segments and domed inverted T waves V1-3, consistent with acute right heart strain caused by large bilateral Pulmonary Emboli.
This ECG is from a patient of unknown age who presented with sudden chest pain and shortness of breath.
This ECG shows domed inverted T waves V1-3, consistent with acute right heart strain caused by Pulmonary Emboli.
This ECG is from an elderly woman who presented with sudden onset shortness of breath after months of inactivity due to a back injury.
This ECG shows sinus tachycardia with large inverted T waves, consistent with right heart strain. The cause was a very large PE.
Where did they come from?
These ECGs were collected from Free Open Access Medical Education (#FOAMed) blogs, with the permission of their authors. You can find out more about each ECG's source by clicking on it.
Why are they here?
This is an experiment in digital curation. The idea is to collect resources to increase awareness and accessibility. Over time, more ECGs in the collection will be tagged to make it easier to find them and reused in new interactive quizzes.
How can I use these ECGs?
You can use these ECGs for your own learning, teaching or research - as long as you abide by the terms of each ECG's copyright licence as stipulated by the original author.