ECG of the Week - 30th November 2015

These ECG's are from a 47 yr old male who present with a 1 month history of intermittent palpitations and pre-syncope. He had a prior MI several years ago and has a stent in-situ.

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Patient's Resting ECG

Whilst under investigation in the Emergency Department the patient was placed on cardiac telemetry and during clinical assessment a brief rhythm change was noted, captured below.

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Telemetry Rhythm Strip

Things to think about

• What does the first resting 12-lead ECG show ?
• What does the rhythm strip show ?
• Do you know how to access the telemetry logs in your Department ?