Saturday, 21 March 2015

ECG of the Week - 23rd March 2015

This ECG is from a 35 yr old male who presented to the Emergency Department following an episode of exertional syncope. He has 1 previous episode of syncope several years prior without investigation. Otherwise he is fit & well with no relevant family history.

Friday, 20 March 2015

ECG of the Week - 16th March 2015 - Interpretation

This ECG series is from a 45 yr old male who was undergoing an out-patient exercise stress test (EST) for investigation of chest pain. 
The first ECG is pre-EST. The second ECG was performed when the patient became pre-syncopal during EST. The third ECG was taken 2 minutes after the second ECG and the fourth ECG was performed a further 2 minutes later. The patient was immediately transported to the Emergency Department were he was pain free and ECG was comparable with his pre-EST ECG.
Check out the comments on our original post here.

Saturday, 14 March 2015

ECG of the Week - 16th March 2015

This ECG series is from a 45 yr old male who was undergoing an out-patient exercise stress test (EST) for investigation of chest pain. 
The first ECG is pre-EST. The second ECG was performed when the patient became pre-syncopal during EST. The third ECG was taken 2 minutes after the second ECG and the fourth ECG was performed a further 2 minutes later. The patient was immediately transported to the Emergency Department were he was pain free and ECG was comparable with his pre-EST ECG.

ECG of the Week - 9th March 2015 - Interpretation

This ECG is from a 70 yr old female who was referred into the Emergency Department with a 1 week history of abdominal pain and altered bowel habit. An out-patient CT scan showed diverticulitis complicated by local perforation. 
She had a past medical history of IHD (CABG and stents), hypertension and type 2 diabetes. During her initial assessment she complained of chest pain which lasted approximately 5 minutes and resolved spontaneously. 
The first of the ECG's below was taken during the episode of chest pain with the second performed ~ 5 minutes later once the patient was pain free.
Check out the comments on our original post here.

Friday, 6 March 2015

ECG of the Week - 9th March 2015

This ECG is from a 70 yr old female who was referred into the Emergency Department with a 1 week history of abdominal pain and altered bowel habit. An out-patient CT scan showed diverticulitis complicated by local perforation. 
She hah a past medical history of IHD (CABG and stents), hypertension and type 2 diabetes. During her initial assessment she complained of chest pain which lasted approximately 5 minutes and resolved spontaneously. 
The first of the ECG's below was taken during the episode of chest pain with the second performed ~ 5 minutes later once the patient was pain free.


ECG of the Week - 2nd March 2015 - Interpretation

These ECG's are from a 20 yr old female who presented to the Emergency Department following an episode of chest pain. At review she was pain free and all vital signs were normal. Her serial ECG's are below, there is ~30 mins between each ECG.
Check out the extensive comments on our original post here.

Sunday, 1 March 2015

ECG of the Week - 2nd March 2015

These ECG's are from a 20 yr old female who presented to the Emergency Department following an episode of chest pain. At review she was pain free and all vital signs were normal. Her serial ECG's are below, there is ~30 mins between each ECG.


Wednesday, 25 February 2015

ECG of the Week - 23rd February 2015 - Interpretation

The following ECG is from a 50 yr old male. Nil relevant past medical history. The patient had an out-of-hospital witnesses cardiac arrest with immediate bystander CPR. On paramedic arrival he was found to be in VF and ROSC was achieved following DC cardioversion.

On arrival to the Emergency Department the patient was agitated and combative with episodic abnormal posturing. 

Vital signs: GCS ~5-7 (M=2-4 E=1 V=2), BP 136/78, RR 12, Temp 36.5 (97.7F), BSL 8.4 mmol/L, Sat 100% on 15L/min

The patient received iv sedation to facilitate initial assessment, his ECG is below.

Check out the comments on our original post here.