Fatigue

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ECG Library (16)

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In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea Fatigue 12-Lead Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics 17328

This ECG is from a man in his 60s who presented with chest pain radiating down his left arm and 2 days of exertional dyspnoea and fatigue.

This ECG shows anterior ST elevation with terminal QRS distortion. The cause was Spontaneous coronary artery dissection (SCAD) of the mid LAD.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea Fatigue Serial 12-lead Accelerated idioventricular rhythm Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics 2 17541

This ECG is from a man in his 60s who presented with chest pain radiating down his left arm and 2 days of exertional dyspnoea and fatigue.

This ECG shows anterior ST elevation with terminal QRS distortion. At 16:56 there is also a LBBB. The cause was Spontaneous coronary artery dissection (SCAD) of the mid LAD.

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Fatigue 12-Lead Serial 12-lead Excessive discordant ST elevation Pacemaker spikes Ventricular pacemaker Acute Inferior MI Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm 3 – later that night 15688

This ECG is from a female in her 60s presented with 2-3 days of fatigue and shortness of breath. She called EMS when her symptoms acutely worsened while she was shopping. EMS arrived and recorded a heart rate of 27. On arrival to the ED she was noted to be in complete heart block. She was given atropine with transient increase in HR to 80s. This ECG was recorded later that night after a transvenous pacemaker was placed.

This ECG shows ventricular paced rhythm with excessive discordant ST elevation in II, III and aVF. There is reciprocal depression in aVL and I. The cause was an occluded proximal right coronary artery. This diagnosis was delayed and the patient died.

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Fatigue 12-Lead Serial 12-lead Pacemaker spikes Ventricular pacemaker Acute Inferior MI Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm 2 – with pacing 15685

This ECG is from a female in her 60s presented with 2-3 days of fatigue and shortness of breath. She called EMS when her symptoms acutely worsened while she was shopping. EMS arrived and recorded a heart rate of 27. On arrival to the ED she was noted to be in complete heart block. She was given atropine with transient increase in HR to 80s. This ECG was recorded after a transvenous pacemaker was placed.

This ECG shows a paced rhythm with excessive discordant ST depression in lead I and borderline excessive ST elevation in III and aVF. The cause was an occluded proximal right coronary artery. This was missed and the patient died.

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Fatigue 12-Lead Concordant ST depression in V1-V3 Concordant ST elevation Normal Axis LBBB Second degree AV block type 1 - Wenckebach Acute Inferior MI Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm 14448

This ECG is from a female in her 60s presented with 2-3 days of fatigue and shortness of breath. She called EMS when her symptoms acutely worsened while she was shopping. EMS arrived and recorded a heart rate of 27. On arrival to the ED she was noted to be in complete heart block. She was given atropine with transient increase in HR to 80s. This ECG was recorded after atropine.

This ECG shows sinus rhythm with second degree type 1 AV block and LBBB. Concordant ST elevation in III and aVF and concordant ST depression in V2. The cause was an occluded proximal right coronary artery. This was missed and the patient died.

In the ECGquest archives, this ECG has been tagged with: - Fatigue Hypotension Weakness 12-Lead Serial 12-lead Left Axis Deviation Narrow QRS Tachycardia Ashman aberrancy Dr Smith's ECG Blog CC BY-NC
Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads. Repeat after IVF 17246
In the ECGquest archives, this ECG has been tagged with: - Fatigue Hypotension Weakness Lewis lead Normal P waves Tachycardia Sinus tachycardia Dr Smith's ECG Blog CC BY-NC
Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads. Repeat after IVF 17249
In the ECGquest archives, this ECG has been tagged with: - Fatigue Hypotension Weakness 12-Lead Serial 12-lead Hidden P waves Narrow QRS Regular Tachycardia Sinus tachycardia Dr Smith's ECG Blog CC BY-NC
Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads. Repeat after IVF 17252
In the ECGquest archives, this ECG has been tagged with: - Fatigue Hypotension Weakness 12-Lead Serial 12-lead Narrow QRS Normal rate Regular Normal Sinus Rhythm Dr Smith's ECG Blog CC BY-NC
Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads. Repeat after more IVF 17256