CARDIOLOGY: EKG ID’s

*Ectopic Atrial Tachycardia*
*Ectopic Atrial Tachycardia*
*Hyperacute Anteroseptal STEMI*
*Hyperacute Anteroseptal STEMI*
*Hyperacute Anterior STEMI*
*Hyperacute Anterior STEMI*
*Acute Anterolateral STEMI*
*Acute Anterolateral STEMI*
*Acute Anterior STEMI*
*Acute Anterior STEMI*
*Normal EKG*
*Normal EKG*
*Atrial Flutter w/ 2:1 Block*
*Atrial Flutter w/ 2:1 Block*
*Atrial Flutter w/ 4:1 Block*
*Atrial Flutter w/ 4:1 Block*
*AFib w/ Rapid Ventricular Response*
*AFib w/ Rapid Ventricular Response*
*AFib w/ Slow Ventricular Response*
*AFib w/ Slow Ventricular Response*
*1st Degree AV Block*
*1st Degree AV Block*
*2nd Degree AV Block* *(Mobitz Type I -or- Wenchebach)*
*2nd Degree AV Block*
*(Mobitz Type I -or- Wenchebach)*
*2nd Degree AV Block* *(Mobitz Type II)*
*2nd Degree AV Block*
*(Mobitz Type II)*
*3rd Degree AV Block* *(Complete)*
*3rd Degree AV Block*
*(Complete)*
*RBBB*
*RBBB*
*LBBB*
*LBBB*
*Polymorphic Atrial Tachycardia*
*Polymorphic Atrial Tachycardia*
A 75 year old man with a history of COPD presents with fever and increased sputum production. An ECG is taken in the emergency department. Diagnosis?
*Pulseless Electrical Activity* (PEA)
*Pulseless Electrical Activity*
(PEA)
A 65 year old man is found unresponsive. He has no central pulse and is making no respiratory effort. Surprisingly someone has done an ECG. Diagnosis?
*Normal EKG*
*Normal EKG*
A fit and well 31 year old man presents for a routine insurance medical. This is his ECG. Findings?
*V-Tach*
*V-Tach*
A 65 year old man with a history of ischaemic heart disease is found unresponsive. He has no central pulse and is making no respiratory effort. Diagnosis?
*SVT*
*SVT*
A 40 year old lady comes to the emergency department from her husband’s funeral with a sensation of ‘fluttering’ in her chest. She is feeling very anxious. An ECG is performed. What is the diagnosis?
*Inferior STEMI deteriorating into V-Fib*
*Inferior STEMI deteriorating into V-Fib*
A 58 year old man who attends the emergency department with chest pain loses consciousness whilst he is having his initial ECG. He has no central pulse and is taking occasional deep breaths. Diagnosis?
*A-Fib w/ RVR*
*A-Fib w/ RVR*
A 35 year old man presents with palpitations. He has been drinking heavily with friends over the weekend. This is his ECG. What’s the diagnosis?
*Anterolateral STEMI*
*Anterolateral STEMI*
A 60 year old man presents with tight central chest pain radiating to his left shoulder. This is his initial ECG. Diagnosis?
*Severe Hyperkalemia*
*Severe Hyperkalemia*
A 55 year old renal dialysis patient presents to the emergency department having missed his last session of dialysis due to feeling dizzy and unwell. This is his ECG. Diagnosis?
*Inferolateral NSTEMI*
*Inferolateral NSTEMI*
A 65 year old woman presents with chest pain radiating to her jaw and down her left arm. It feels like her ‘normal’ angina but on this occasion it has not eased with GTN spray. This is her ECG. Diagnosis?
*Wolff-Parkinson White Syndrome*
*Wolff-Parkinson White Syndrome*
A 25 year old man presents with a collapse which occurred as he was playing in a football match. He has suffered episodes of fainting in the past. This is his ECG. What is the diagnosis?
*Delta Wave* (Wolff-Parkinson White)
*Delta Wave*
(Wolff-Parkinson White)
*Brugada Syndrome (Type 1)*
*Brugada Syndrome (Type 1)*
An 18 year old man signs up to join the army. He is fit and well. This is his ECG taken at his medical examination. Diagnosis?
*Acute Posterior MI*
*Acute Posterior MI*
A 58 year old smoker presents with tight epigastric pain. He looks sweaty and unwell. One of the nurses shows you his routine ECG. Diagnosis?
*Pericarditis*
*Pericarditis*
A 29 year old presents with central chest pain. She has a history of recent flu-like illness but no significant past medical history. This is her ECG. What is the diagnosis?
*Inferior STEMI*
*Inferior STEMI*
A 70 year old woman presents with sudden onset of chest pain. The pain is crushing in nature and radiates up to her jaw. This is her ECG. Diagnosis?
*Pulmonary Embolism*
A 45 woman has just stepped off a flight from Japan when she develops severe pleuritic chest pain and shortness of breath. On examination her chest is clear. Present your findings. What is the most likely diagnosis?
*Osbourne J-Wave* - Seen in Hypothermia, Subarachnoid Hemorrhage (SAH), and Hypercalcemia
*Osbourne J-Wave*
– Seen in Hypothermia, Subarachnoid Hemorrhage (SAH), and Hypercalcemia
*Hypothermia*
*Hypothermia*
It is early January and a middle-aged man is found lying in a park. He is surrounded by bottles of Buckfast and has a GCS of 9. An ECG is performed in the ambulance. Diagnosis?
*Hypokalemia*
*Hypokalemia*
A 61 year old woman presents to the emergency department with diarrhoea and vomiting. She has recently been started on furosemide by her GP for hypertension. Diagnosis?
*U-Wave* - Positive deflection following the t-wave but preceding the p-wave. - Found in hypokalaemia but also in hypercalcaemia and thyrotoxicosis.
*U-Wave*
– Positive deflection following the t-wave but preceding the p-wave.
– Found in hypokalaemia but also in hypercalcaemia and thyrotoxicosis.
*Prolonged QTc due to TCA Overdose*
*Prolonged QTc due to TCA Overdose*
An 18 year old lady is found collapsed at home. When you see her she has a GCS of 10 and you notice that her pupils are dilated. This is her ECG. Diagnosis?
*Torsades de Pointes* (Polymorphic VTach)
*Torsades de Pointes*
(Polymorphic VTach)
A 45 year old man is found collapsed at home. There is no history available. This is his ECG. What is the diagnosis?
*Prolonged QTc*
*Prolonged QTc*
A 50 year old man presents with collapse. He has been unwell recently with a chest infection for which he has been prescribed clarithromycin from his GP. He also takes medication for his hayfever at this time of year. What is most concerning here?
<480 ms
Normal QTc?
*Brugada Syndrome*
*Brugada Syndrome*
*LVH*
*LVH*
*LVH*<br />
- According to the *Gubner Criteria*, the sum of the<br />
amplitudes of *R wave in lead I (RED)* and *S wave in lead III (BLUE)* is >2.5 mV (25 mm), suggesting LVH in this patient.
*LVH*
– According to the *Gubner Criteria*, the sum of the
amplitudes of *R wave in lead I (RED)* and *S wave in lead III (BLUE)* is >2.5 mV (25 mm), suggesting LVH in this patient.
*LVH*<br />
- According to the Sokolow-Lyon voltage criteria, the<br />
sum of the amplitudes of *S wave in C1 or C2 (RED)* and *R wave in C5 or C6 (BLUE)* is >3.5 mV (35 mm) and suggests the presence of LVH.
*LVH*
– According to the Sokolow-Lyon voltage criteria, the
sum of the amplitudes of *S wave in C1 or C2 (RED)* and *R wave in C5 or C6 (BLUE)* is >3.5 mV (35 mm) and suggests the presence of LVH.
*Left Anterior Fascicular Block* *(LAFB)*
*Left Anterior Fascicular Block*
*(LAFB)*
*Left Anterior Fascicular Block* *(LAFB)*
*Left Anterior Fascicular Block*
*(LAFB)*
*Left Anterior Fascicular Block* *(LAFB)*
*Left Anterior Fascicular Block*
*(LAFB)*
*Left Anterior Fascicular Block* *(LAFB)*
*Left Anterior Fascicular Block*
*(LAFB)*
*Coarctation of the Aorta*
*Coarctation of the Aorta*
*Digoxin Toxicity*
*Digoxin Toxicity*
*Digoxin Toxicity with 2:1 AV Block*
*Digoxin Toxicity with 2:1 AV Block*

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