Dyspnoea

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ECG Library (117)

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In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Weakness 12-Lead Concordant ST depression in V1-V3 Concordant ST elevation Pacemaker spikes Wide QRS Ventricular pacemaker Acute Lateral MI Positive Sgarbossa criteria Dr Smith's ECG Blog CC BY-NC
Elderly with Paced Rhythm, Possible Ischemic symptoms, and an Equivocal Smith Modified Sgarbossa ECG 31386

This ECG is from a woman in her 80s who presented with a couple of days of shortness of breath, weakness and diaphoresis.

This ECG shows ventricular paced rhythm with concordant ST elevation V5-6 and concordant ST depression in V3. The cause was an occlusion of the circumflex.

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: - Chest pain Dyspnoea 12-Lead Inverted T waves Acute right heart strain Pulmonary embolism Dr Smith's ECG Blog CC BY-NC
A young woman with altered mental status and hypotension: Case 2 31484

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead De Winter T waves Hyperacute T waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
Would you have given thrombolytics to this NSTEMI patient? 30725

This ECG is from a middle aged male who presented with chest pain and dyspnoea.

This ECG shows hyperacute T waves V2-6 (de Winter in V4-6), I and aVL, due to acute anterolateral MI.

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: - 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: - Dyspnoea 12-Lead Lateral ST elevation ST elevation in aVL RBBB Normal ST elevation Dr Smith's ECG Blog CC BY-NC
Two patients with RBBB 30667

This ECG is from a woman in her 60s who presented with dyspnoea, on a background of chronic respiratory disease.

This ECG shows RBBB with ST elevation in I and aVL. All previous ECGs were identical, so this was most likely her baseline ST elevation. Troponins and echo were normal.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Inferior ST elevation Lateral ST elevation RBBB Acute Lateral MI Dr Smith's ECG Blog CC BY-NC
Two patients with RBBB 31353

This ECG is from a man in his 50s who presented with intermittent chest pain and shortness of breath for the past 3 days with vomiting.

This ECG shows RBBB with inferior and lateral ST elevation due to an acute MI (occluded OM2).

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea 12-Lead Peaked T waves Hyperkalemia Dr Smith's ECG Blog CC BY-NC
Patient with Dyspnea. You are handed a triage ECG interpreted as “normal” by the computer. 30500

This ECG is from a dialysis patient who presented with dyspnoea.

This ECG shows subtly peaked T waves and flat ST segments. The cause was hyperkalemia (6.3).

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Hyperacute T waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay. 30430

This ECG is from an elderly woman who presented with acute chest pain and shortness of breath.

This ECG shows sinus rhythm with minimal ST elevation in V1-3 and hyperacute T waves in V2. Serial ECGs evolved to a clear STEMI. The cause was a 100% mid-LAD occlusion.

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Fever 12-Lead Regular Tachycardia Widespread ST elevation Sinus tachycardia Myocardial Bridging Dr Smith's ECG Blog CC BY-NC
Tachycardia, fever to 105, and ischemic ST Elevation — a Bridge too Far 30434

This ECG is from a man in his 50s who presented with a high fever and dysonpea.

This ECG shows sinus tachycardia with widespread ST elevation. He was treated for sepsis but serial ECGs and troponins were abnormal. Angiogram showed a myocardial bridge in the mid LAD.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Hyperacute T waves Septal ST elevation Mid-anterior MI Dr Smith's ECG Blog CC BY-NC
The delay between OMI and STEMI claims yet another patient’s anterior wall 30231

This ECG is from an elderly woman who presented with chest pain and shortness of breath.

This ECG shows ST elevation in V2 with hyperacute T waves in V2-3. Even though this does not meet STEMI criteria, it is highly suspicious. Serial troponins did rise, pain was ongoing and the ECG evolved to meet STEMI criteria. A 100% mid-LAD occlusion was found to be the cause. Echo showed widespread wall motion abnormalities and reduced ejection fraction.

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