- Strong Medicine (2015) - Advanced EKGs - Miscellaneous EP Topics, (Accessed: 05/09/2019)
This ECG is from a middle-aged woman who presented with syncope and hypotension.
This ECG shows sinus tachycardia with inferior ST elevation and reciprocal ST depression in aVL. Also ST elevation in V1 and ST depression in V2-4. The most likely cause was acute inferoposterior MI due to proximal RCA occlusion.
This ECG is from a woman in her 70s who presented with sudden nausea, diaphoresis and brief syncope.
This ECG shows subtle concave ST elevation in inferior leads and V4-6. The angiogram was normal, troponins negative and echo showed no wall motion abnormality. The most likely cause was a normal variant.
This ECG is from a man in his 50s who presented with syncope on a background of diabetes, opiate abuse and possible prior cardiac disease.
This ECG shows a supraventricular tachycardia with evidence of P waves, left axis deviation and slightly wider QRS (106 msec) likely due to LAFB, tall QRS concerning for LVH and fragmentation in V2-4 suggesting prior MI.