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Normal ECG


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Normal ECG

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Normal ecg

Normal ECG


A 55 year old man with 4 hours of crushing chest pain

A 55 year old man with 4 hours of "crushing" chest pain.


A 63 year old woman with 10 hours of chest pain and sweating

A 63 year old woman with 10 hours of chest pain and sweating.


A 60 year old woman with 3 hours of chest pain

A 60 year old woman with 3 hours of chest pain.


A 53 year old man with ischaemic heart disease

A 53 year old man with Ischaemic Heart Disease.


A 79 year old man with 5 hours of chest pain

A 79 year old man with 5 hours of chest pain.


An 83 year old man with aortic stenosis

An 83 year old man with aortic stenosis.


A 75 year old woman with loud first heart sound and mid diastolic murmur

A 75 year old woman with loud first heart sound and mid-diastolic murmur.


A 59 year old woman with chronic bronchitis

A 59 year old woman with chronic bronchitis.


An 84 year old woman with hypertension

An 84 year old woman with hypertension


A 73 year old woman with dizziness

A 73 year old woman with dizziness.


A 70 year old man with exercise intolerance

A 70 year old man with exercise intolerance.


An 82 year old lady with dizzy spells

An 82 year old lady with dizzy spells


A 55 year old man with 4 hours of crushing chest pain1

A 55 year old man with 4 hours of "crushing" chest pain.


A 90 year old lady with syncope

A 90 year old lady with syncope.


A 34 year old woman with asthma

A 34 year old woman with asthma


A 60 year old man with htn

A 60 year old man with HTN


A48 year old man with palpitation

A48 year old man with palpitation


A 76 year old man with sob

A 76 year old man with SOB


A 60 year old woman with htn

A 60 year old woman with HTN


A 68 year old women on digoxin complaining of fatigue

A 68 year old women on Digoxin complaining of fatigue


A 57 year old woman with palpitations

A 57 year old woman with palpitations


A woman with romano ward syndrome

A woman with Romano-Ward Syndrome


QTc

Normal QTc

  • Men < 0.43

    • borderline o.43-0.45

    • prolonged >0.45

  • Women < 0.43

    • borderline o.43-0.47

    • prolonged >0.47


A 50 year old man with chest pain for 2 4 hours

A 50 year old man with chest pain for 2-4 hours


A 45 year old women with palpitation and a history of crf

A 45 year old women with palpitation and a history of CRF


A 69 year old man 2weeks post iwmi

A 69 year old man 2weeks post IWMI


A 60 year old man with ihd

A 60 year old man with IHD


A 36 year old woman with recurrent blackouts

A 36 year old woman with recurrent blackouts


A 60 year old male with 2 hours of crushing chest pain suddenly collapses

A 60 year old male with 2 hours of “crushing” chest pain suddenly collapses


A 72 year old man with a permanent pacemaker

A 72 year old man with a permanent pacemaker


What is the rhythm

What is the rhythm?


Dual chamber pacer with an icd

Dual chamber pacer with an ICD


A 25 year old man with bouts of tachycardia


Wolf parkinson white syndrome

Wolf-Parkinson-White syndrome

  • short PR interval, less than 3 small squares (120 ms)

  • slurred upstroke to the QRS indicating pre-excitation (delta wave)

  • broad QRS

  • secondary ST and T wave changes

    • Localising the accessory pathway

  • An accessory pathway, bundle of Kent, exists between atria and ventricles and causes

  • early depolarisation of the ventricle. The location of the pathway may be deduced as follows:-

  • LOCATION V1 V2 QRS axis

  • left posteroseptal (type A) +ve +ve left

  • right lateral (type B) -ve -ve left

  • left lateral (type C) +ve +ve inferior (90 degrees)

  • right posteroseptal -ve -ve left

  • anteroseptal -ve -ve normal


  • A 47 year old man with a long history of palpitations and blackouts

    A 47 year old man with a long history of palpitations and blackouts.


    A 23 year old male with palpitations

    A 23 year old male with palpitations


    A 56 year old man with sob and raises jvp

    A 56 year old man with SOB and raises JVP


    A 50 year old man with palpitations

    A 50 year old man with palpitations


    A 49 year old woman with pleuritic chest pain and sob

    A 49 year old woman with pleuritic chest pain and SOB


    A 58 year old man on hemodialysis presents with weakness

    A 58 year old man on hemodialysis presents with weakness


    A 28 year old woman with prolonged vomiting

    A 28 year old woman with prolonged vomiting


    A 64 year old woman on digoxin

    A 64 year old woman on digoxin