ECG Library (50)

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In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Dyspnoea 12-Lead Anterior ST elevation Lateral ST elevation Sinus tachycardia LAFB RBBB Left main occlusion Dr Smith's ECG Blog CC BY-NC
How does acute left main occlusion present on the ECG? Case 2 31380

This ECG is from a young woman who presented with sudden pulmonary oedema. This ECG was recorded just before she arrested.

This ECG shows sinus tachycardia, RBBB, LAFB and ST elevation in V2-6, I and aVL. The cause was a 100% left main occlusion.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Chest pain Dyspnoea 12-Lead Tombstone ST elevation Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
Would you have given thrombolytics to this NSTEMI patient? Repeat post arrest and ROSC 31360

This ECG is from a middle aged male who presented with chest pain and dyspnoea. This ECG was recorded after a witnessed VF arrest, tenecteplase and multiple shocks.

This ECG shows massive anterior ST elevation due to acute anterolateral MI.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest 12-Lead Sinus tachycardia Wide complex tachycardia Intraventricular conduction delay Dr Smith's ECG Blog CC BY-NC
ROSC: does the ECG to rule out OMI? And why does a heart just stop beating? And what rhythm is this? 30504

This ECG is from a man in his 60s who complained of feeling weak and then collapsed. He was given CPR and a pulse returned after several minutes.

This ECG shows wide complex tachycardia with P waves visible best in V1. IVCD. No marked ischemic ST changes. Angiogram found a 90% left main stenosis, 100% LAD occlusion and moderate to severe proximal RCA disease.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest 12-Lead Bradycardia Irregular Peaked T waves Wide QRS Hyperkalemia Dr Smith's ECG Blog CC BY-NC
A patient with cardiac arrest, ROSC, and right bundle branch block (RBBB). 29698

This ECG is from a patient who presented after a PEA arrest with ROSC after intubation and chest compressions.

This ECG shows irregular, slow, wide complex rhythm with peaked T waves due to hyperkalemia.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest 12-Lead R in aVR Tachycardia Wide QRS Sodium channel blocker toxicity Dr Smith's ECG Blog CC BY-NC
Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI? Post arrest ECG 26626

This ECG is from a young woman who presented with status epilepticus seizures and an apparent overdose of bupropion, with possible cocaine ingestion. She was intubated and given propofol and benzodiazepines, which terminated the seizures. This was the repeat ECG 8 hours after presentation, just after she had a PEA arrest that resolved with epinephrine and bicarbonate.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest 12-Lead Anterior ST elevation Long QT R in aVR Dr Smith's ECG Blog CC BY-NC
Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI? Repeat ECG the next day 26629

This ECG is from a young woman who presented with status epilepticus seizures and an apparent overdose of bupropion, with possible cocaine ingestion. She was intubated and given propofol and benzodiazepines, which terminated the seizures, and then a PEA arrest was terminated with epinephrine and bicarbonate. This was the repeat ECG the next day.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Loss of consciousness 12-Lead Inverted T waves R in V1 Right Axis Deviation RVH Dr Smith's ECG Blog CC BY-NC
ST Depression and T-wave Inversions after ROSC from Resp and Cardiac Arrest after Head Trauma 22156
In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest 12-Lead Anterior ST depression ST elevation in aVR Atrial fibrillation Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Cardiac arrest #3: ST depression, Is it STEMI? or is he an ACCESS Trial Candidate? 19557
In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Dyspnoea 12-Lead Anterior ST depression Inferior ST depression Lateral ST elevation ST elevation in a PVC Wide QRS Acute Lateral MI Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Another Cardiac Arrest – Is it OMI this time? Use your skills from the previous post! Repeat 23min later. 29174

This ECG is from a male in his 40s who developed sudden shortness of breath and arrested soon after. This was the initial ECG after 5 shocks for VT/VF when he was intubated and without any spontaneous movements.

This ECG shows high lateral ST elevation. Within the PVCs there is excessive discordant ST elevation in I and aVL, as well as excessive depression in II, III, aVF, V5 and V6. The cause was an acute posterolateral MI. The ST segments were initially misinterpreted as being part of the QRS complexes.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Dyspnoea 12-Lead Anterior ST depression Inferior ST depression Lateral ST elevation Wide QRS Acute Lateral MI Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Another Cardiac Arrest – Is it OMI this time? Use your skills from the previous post! 19471

This ECG is from a male in his 40s who developed sudden shortness of breath and arrested soon after. This was the initial ECG after 5 shocks for VT/VF when he was intubated and without any spontaneous movements.

This ECG shows wide QRS with massive ST depression in V1-5, II, II, aVF and ST elevation in I and aVL caused by acute posterolateral MI. The ST segments were initially misinterpreted as being part of the wide QRS complexes.