ECG Interpretation

ECG Interpretation, by Ken Grauer. Cases reproduced with permission

ECG Library (144)

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In the ECGquest archives, this ECG has been tagged with: - Hypotension Syncope 12-Lead Sinus arrhythmia Sinus tachycardia High grade AV block Ventriculophasic sinus arrhythmia Acute Inferior MI Acute Posterior MI Right ventricular MI ECG Interpretation CC-BY-NC-SA
ECG Blog #168 (STEMI – complex AV Block – Laddergram – Calipers) 31936

This ECG is from a middle-aged woman who presented with syncope and hypotension.

This ECG shows sinus tachycardia with inferior ST elevation and reciprocal ST depression in aVL. Also ST elevation in V1 and ST depression in V2-4. The most likely cause was acute inferoposterior MI due to proximal RCA occlusion.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Inferior ST elevation Reciprocal ST depression Acute Inferior MI ECG Interpretation CC-BY-NC-SA
ECG Blog #167 (Reciprocal-OMI-Normal) 31278

This ECG shows inferior ST elevation with Q waves in III and reciprocal ST depression in aVL, most likely caused by an acute inferior MI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Irregular Narrow QRS Tachycardia Tall QRS Widespread ST depression Atrial fibrillation ECG Interpretation CC-BY-NC-SA
ECG Blog #166 (ST-T – AFib – LVH – SVT) 30680

This ECG is from a woman in her 60s who presented in acute heart failure with dyspnoea and intermittent chest discomfort.

This ECG shows atrial fibrillation, LVH and diffuse ST-T changes.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Anterior ST elevation Fragmented QRS Left Axis Deviation ECG Interpretation CC-BY-NC-SA
ECG Blog #165 (MI – Acute – Old – Unknown Age – Aneurysm – Fragmentation) 30625
In the ECGquest archives, this ECG has been tagged with: - Rhythm Strip Second degree AV block type 1 - Wenckebach ECG Interpretation CC-BY-NC-SA
ECG Blog #164 (PACs — Blocked PACs — Wenckebach — Laddergram) 30437

This ECG shows a grouped rhythm with regular P waves (often hidden in the QRS but best visible between beats 7-8) and Wenckebach AV block.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Lateral ST elevation Acute Lateral MI ECG Interpretation CC-BY-NC-SA
ECG Blog #162 (STEMI – Coronary Circulation – Culprit – BBB) 29724

This ECG is from an older woman who presented with new-onset chest pain.

This ECG shows acute infero-postero-lateral STEMI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Bradycardia Changing PR interval Narrow QRS Normal P waves Short PR Junctional escape Sinus arrhythmia Sinus bradycardia ECG Interpretation CC-BY-NC-SA
ECG Blog #159 (Bradycardia – AV Block – AV Dissociation – Junctional) 28946
In the ECGquest archives, this ECG has been tagged with: - 12-Lead Inferior ST elevation Pathological Q waves Reciprocal ST depression Acute Inferior MI ECG Interpretation CC-BY-NC-SA
ECG Blog #158 (STEMI – OMI – Ischemia – ST depression – not acute) 28883
In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Delta wave Wide QRS Wolff Parkinson White syndrome ECG Interpretation CC-BY-NC-SA
ECG Blog #157 (RBBB – LBBB- WPW – RVH – ST depression) 28790

This ECG is from a man in his 30s who presented with chest pain on a background of smoking.

This ECG shows wide QRS complexes with delta waves due to Wolff Parkinson White syndrome. Cardiac catheterisation was normal.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Nonspecific baseline artefact Anterior ST depression Inferior ST depression Inverted T waves R in V1 Regular Right Axis Deviation Tall P waves Normal Sinus Rhythm Right atrial enlargement ECG Interpretation CC-BY-NC-SA
ECG Blog #156 (LVH – RVH – LAA – RAA – Strain – Ischemia) 27950
In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Variable P waves Wandering atrial pacemaker ECG Interpretation CC-BY-NC-SA
ECG Blog #155 (Arrhythmia – PACs – Wandering – MAT ) 27542

This ECG is from a woman in her 50s who presented with intermittent chest discomfort in recent weeks.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Changing PR interval Grouped Inferior ST elevation Normal Axis Reciprocal ST depression Second degree AV block type 1 - Wenckebach Acute Inferior MI ECG Interpretation CC-BY-NC-SA
ECG Blog #154 (STEMI – Inferior – Posterior – LVH – Mobitz – AV Block) 25983
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