ECG of the Week

ECG of the Week, by John Larkin

ECG Library (392)

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In the ECGquest archives, this ECG has been tagged with: - Hypotension 12-Lead Inferior ST elevation ECG of the Week CC-BY-NC-SA
ECG of the Week – 25th February 2019 – Interpretation 29686

This ECG is from a man in his 70s who presented hypotensive and febrile with suspected intra-abdominal sepsis.

This ECG shows ST elevation in II, III, V4-6 with unusual morphology of unclear origin.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead R in aVR Wide QRS Sodium channel blocker toxicity ECG of the Week CC-BY-NC-SA
ECG of the Week – 18th February 2019 – Interpretation 29569

This ECG is from a man in his 60s who presented following a dothiepin overdose.

This ECG shows wide QRS with R in aVR and RBBB morphology, caused by sodium channel toxicity.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Electrode misplacement Lead misplacement ECG of the Week CC-BY-NC-SA
ECG of the Week – 11th February 2019 – Interpretation 29571

This ECG is from a woman in her 70s who presented after an episode of chest pain.

This ECG shows flat lead II and reversal of III and aVF due to complex lead reversals. These changes resolved with correct lead position.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Change in rhythm ICD Overdrive Pacing Ventricular tachycardia ECG of the Week CC-BY-NC-SA
ECG of the Week – 4th February 2019 – Interpretation 29573

This ECG is from a man in his 70s who presented after a shock delivery from his AICD.

This ECG shows a run of VT terminated by anti-tachycardia pacing but followed by recurrent VT.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Bradycardia Inverted T waves Vertical axis Sinus bradycardia ECG of the Week CC-BY-NC-SA
ECG of the Week – 28th January 2019 – Interpretation 29575

This ECG is from a teenage girl who presented with ongoing weight loss (BMI 13) and a known eating disorder.

This ECG shows sinus bradycardia (36) and T wave inversion in V1-2 and aVL.

In the ECGquest archives, this ECG has been tagged with: - Palpitations 12-Lead Absent P waves Extreme tachycardia Narrow QRS Normal Axis Regular ST elevation in aVR Tachycardia Widespread ST depression SVT ECG of the Week CC-BY-NC-SA
ECG of the Week – 7th January 2019 – Interpretation 29126

This ECG is from a woman in her 20s who presented with palpitations for an hour.

This ECG shows a regular narrow complex tachycardia (SVT) with secondary ST segment changes due to the extreme rate (205 bpm).

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Long PR Long QT Wide QRS Hyperkalemia Hypocalcaemia ECG of the Week CC-BY-NC-SA
ECG of the Week – 31st December 2018 – Interpretation 29024

This ECG is from a woman in her 30s who presented with cramping following thyroid surgery.

This ECG shows prolonged QT due to long ST segment, no U waves, but also a prolonged QRS and PR. There was hypocalcemia, mild hyperkalemia and hypermagnesemia.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead PR segment depression Widespread ST elevation Normal Sinus Rhythm Pericarditis ECG of the Week CC-BY-NC-SA
ECG of the Week – 24th December 2018 – Interpretation 28909

This ECG is from a man in his 30s who presented with 2 days of positional left sided chest pain.

This ECG shows normal sinus rhythm with widespread ST elevation and PR depression. The diagnosis was pericarditis.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead LA/RA electrode reversal ECG of the Week CC-BY-NC-SA
ECG of the Week – 17th December 2018 – Interpretation 28865

This ECG is from a woman in her 50s who presented with chest pain and dyspnoea.

This ECG shows lead I is completely inverted due to electrode misplacement. The left and right arm electrodes have been swapped accidentally.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Nonspecific baseline artefact Normal Sinus Rhythm ECG of the Week CC-BY-NC-SA
ECG of the Week – 10th December 2018 – Interpretation 28779

This ECG is from a man in his 80s who presented with chest pain. He had a history of Parkinson's disease.

This ECG shows significant baseline artefact due to a Parkinsonian tremor.

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