Inferior ST depression
Inferior ST depression occurs in leads II, III and aVF. It is important to look for reciprocal changes, e.g. in aVL, which suggest acute coronary occlusion.
A man in his sixties with chest pain at midnight with undetectable troponin
This ECG is from a man in his 60s who presented with 3 hours of chest pain.
This ECG shows ST elevation and hyperacute T waves in V2 with inferior and lateral ST depression. The cause was acute LAD occlusion.
ECG Blog #156 (LVH – RVH – LAA – RAA – Strain – Ischemia)
This ECG is from a man in his 40s who had an uncorrected Tetralogy of Fallot.
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
This ECG is from a patient of unknown age who presented with chest pain.
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
This ECG is from a patient of unknown age who presented with chest pain. This was the repeat ECG 19 minutes later.
ECG of the Week – 8th October 2018 – Interpretation
This ECG is from a woman in her 50s who presented with palpitations for the last few hours. She had no known medical conditions and no regular medications.
Anterior MI in paced rhythm, dismissed by cardiologist, patient died.
This ECG is from an elderly male who presented with chest pain. He has a pacemaker. This was his first prehospital ECG.
This ECG shows ventricular paced rhythm with concordant STE in aVR and concordant ST depression in II, III, aVF. The cause was most likely a proximal LAD or left main occlusion. This was missed and the patient died.
A 65 year old with chest pain, ECG recorded at 50 mm/sec
This ECG is from a man in his 60s who presented with sudden central chest pressure with nausea. He had a history of previous infarction 15 years ago. This was his initial prehospital ECG.
A 65 year old with chest pain, ECG recorded at 50 mm/sec
This ECG is from a man in his 60s who presented with sudden central chest pressure with nausea. He had a history of previous infarction 15 years ago. This was his second ECG, taken 35 min after the first.
Tachycardia and ST Elevation.
This ECG is from a middle aged man presented with tachycardia, leg oedema and a raised JVP. This was his initial ECG.
An Ischemic ECG and Bedside Echo shows diffuse dysfunction but with Apical Sparing
This ECG is from a man in his 40s who presented with dyspnoea, hypotension and hypoxia. There was no chest pain. A chest xray showed diffuse pulmonary infiltrates, in a pattern consistent with pulmonary oedema.
Prehospital OMI recognized immediately by a fantastic paramedic: 6 – shortly before VF arrest
This ECG is from a woman in her 60s who presented with chest pain and feeling clammy, on a background of hypertension and high cholesterol. This ECG was recorded just before the patient had a VF arrest.
ECG of the Week – 23rd July 2018 – Interpretation
This ECG is from a man in his 70s who presented with several episodes of ischaemic sounding chest pain on a background of known ischaemic cardiac disease.