Friday 27 December 2013

ECG of the Week - 30th December 2013

This ECG follows on the case of our patient from last week.
Following an out-of-hospital cardiac arrest the patient, a 58 yr old male, presented with ROSC.
Initial treatment included iv adrenaline infusion and external pacing, followed by placement of a transvenous pacing wire. The resultant ECG is below.

Wednesday 25 December 2013

ECG of the Week - 23rd December 2013 - Interpretation

The following ECG is from a 58yr old male who was brought to the Emergency Department following an out-of-hospital cardiac arrest. 
The initial rhythm on paramedic arrival was VF, initial DC cardioversion resulted in PEA with ROSC following iv adrenaline. A further episode of pre-hospital VF responded to DC cardioversion.
On arrival to the Emergency Department the patient is intubated, starting to make voluntary movements, with eye opening to stimuli. Vital signs: BP 98/67, BSL 8.2, Temp 36.8
Check out the comments on this case here.
The initial ECG is below:

Friday 20 December 2013

ECG of the Week - 23rd December 2013

The following ECG is from a 58yr old male who was brought to the Emergency Department following an out-of-hospital cardiac arrest. 
The inital rhythm on paramedic arrival was VF, initial DC cardioversion resulted in PEA with ROSC following iv adrenaline. A further episode of pre-hospital VF responded to DC cardioversion.
On arrival to the Emergency Department the patient is intubated, starting to make voluntary movements, with eye opening to stimuli. Vital signs: BP 98/67, BSL 8.2, Temp 36.8
The initial ECG is below:

Wednesday 18 December 2013

ECG of the Week - 16th December 2013 - Interpretation

This week's ECG is from a 72 yr old male.
He was referred in to the Emergency Department by his GP having complained of nausea, lethargy, and anorexia for the preceding week. Past History of chronic renal failure,and ischaemic heart disease with previous 2 vessel PCI. Medications included frusemide, ACE-inhibitor, and a statin.
Check out the comments from our original post here.

Thursday 12 December 2013

ECG of the Week - 16th December 2013

This week's ECG is from a 72 yr old male.
He was referred in to the Emergency Department by his GP having complained of nausea, lethargy, and anorexia for the preceding week. Past History of chronic renal failure,and ischaemic heart disease with previous 2 vessel PCI. Medications included frusemide, ACE-inhibitor, and a statin.

Wednesday 11 December 2013

ECG of the Week - 9th December 2013 - Interpretation

This week's ECG is from a 58 yr old male who presents to the Emergency Department c/o palpitations, dizziness, and chest pain. Symptoms onset ~90 mins prior to presentation.Past Hx - hypertension, hyperlipidaemia.
Check out the comments on our original post here.

Friday 6 December 2013

ECG of the Week - 9th December 2013

This week's ECG is from a 58 yr old male who presents to the Emergency Department c/o palpitations, dizziness, and chest pain. Symptoms onset ~90 mins prior to presentation.
Past Hx - hypertension, hyperlipidaemia. 


Wednesday 4 December 2013

ECG of the Week - 2nd December 2013 - Interpretation

This week's ECG is from a 68yr old female who presents complaining of palpitations intermittently over the last 4 days with a concurrent viral upper respiratory tract infection. She has a history of paroxysmal atrial fibrillation and mitral valve replacement (St Jude's) and medications include warfarin and sotalol.

You can check out the comments on our original post here.