Seizure

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ECG Library (12)

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In the ECGquest archives, this ECG has been tagged with: - Loss of consciousness Seizure 12-Lead Irregular Narrow QRS Wide QRS Atrial fibrillation Change in rhythm Dr Smith's ECG Blog CC BY-NC
What is this tachycardia that alternates from wide to narrow to wide?

This ECG is from a patient in their 50s who presented unconscious and tachycardic after a seizure.

This ECG shows alternating wide and narrow complex tachycardias at the same rate, likely due to aberrancy.

In the ECGquest archives, this ECG has been tagged with: - Seizure 12-Lead J wave Widespread ST elevation Normal ST elevation Dr Smith's ECG Blog CC BY-NC
A Young Man with Sharp Chest pain

This ECG is from a teenage male who had a seizure.

This ECG shows diffuse ST elevation with prominent J waves and no reciprocal ST depression. The most likely cause was early repolarisation.

In the ECGquest archives, this ECG has been tagged with: - Seizure 12-Lead Normal T waves Normal Dr Smith's ECG Blog CC BY-NC
Two cases texted to me for concern of inferior hyperacute T waves and a flipped T in aVL – do either, neither, or both need emergent reperfusion?

This ECG is from a middle aged man who presented with a seizure after stopping his anti-seizure medications.

This ECG shows tall T waves but not fat enough to be 'hyperacute'. There was no acute coronary syndrome.

In the ECGquest archives, this ECG has been tagged with: - Seizure 12-Lead R in aVR Wide QRS Sinus tachycardia Dr Smith's ECG Blog CC BY-NC
Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI?

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 first ECG.

In the ECGquest archives, this ECG has been tagged with: - Seizure 12-Lead R in aVR Wide QRS Normal Sinus Rhythm 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? 8 hours later.

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 before she arrested.

In the ECGquest archives, this ECG has been tagged with: - Diarrhoea Seizure 12-Lead Incorrect Machine Interpretation Long QT Tall U waves Hypokalemia Dr Smith's ECG Blog CC BY-NC
A patient with a “seizure” and a completely “normal” ECG

This ECG is from a patient who presented with their first ever 'seizure' on a background of recent diarrhoea. QTc = 595 msec.