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Normal ECG






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Normal ECG. 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 60 year old woman with 3 hours of chest pain. A 53 year old man with Ischaemic Heart Disease. A 79 year old man with 5 hours of chest pain.
Normal ECG

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Normal ecgSlide 1

Normal ECG

A 55 year old man with 4 hours of crushing chest painSlide 2

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

A 63 year old woman with 10 hours of chest pain and sweatingSlide 3

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

A 60 year old woman with 3 hours of chest painSlide 4

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

A 53 year old man with ischaemic heart diseaseSlide 5

A 53 year old man with Ischaemic Heart Disease.

A 79 year old man with 5 hours of chest painSlide 6

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

An 83 year old man with aortic stenosisSlide 7

An 83 year old man with aortic stenosis.

A 75 year old woman with loud first heart sound and mid diastolic murmurSlide 8

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

A 59 year old woman with chronic bronchitisSlide 9

A 59 year old woman with chronic bronchitis.

An 84 year old woman with hypertensionSlide 10

An 84 year old woman with hypertension

A 73 year old woman with dizzinessSlide 11

A 73 year old woman with dizziness.

A 70 year old man with exercise intoleranceSlide 12

A 70 year old man with exercise intolerance.

An 82 year old lady with dizzy spellsSlide 13

An 82 year old lady with dizzy spells

A 55 year old man with 4 hours of crushing chest pain1Slide 14

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

A 90 year old lady with syncopeSlide 15

A 90 year old lady with syncope.

A 34 year old woman with asthmaSlide 16

A 34 year old woman with asthma

A 60 year old man with htnSlide 17

A 60 year old man with HTN

A48 year old man with palpitationSlide 18

A48 year old man with palpitation

A 76 year old man with sobSlide 19

A 76 year old man with SOB

A 60 year old woman with htnSlide 20

A 60 year old woman with HTN

A 68 year old women on digoxin complaining of fatigueSlide 21

A 68 year old women on Digoxin complaining of fatigue

A 57 year old woman with palpitationsSlide 22

A 57 year old woman with palpitations

A woman with romano ward syndromeSlide 23

A woman with Romano-Ward Syndrome

Normal ecgSlide 24

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 hoursSlide 25

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

A 45 year old women with palpitation and a history of crfSlide 26

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

A 69 year old man 2weeks post iwmiSlide 27

A 69 year old man 2weeks post IWMI

A 60 year old man with ihdSlide 28

A 60 year old man with IHD

A 36 year old woman with recurrent blackoutsSlide 29

A 36 year old woman with recurrent blackouts

A 60 year old male with 2 hours of crushing chest pain suddenly collapsesSlide 30

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

A 72 year old man with a permanent pacemakerSlide 31

A 72 year old man with a permanent pacemaker

What is the rhythmSlide 32

What is the rhythm?

Dual chamber pacer with an icdSlide 33

Dual chamber pacer with an ICD

Normal ecgSlide 34

A 25 year old man with bouts of tachycardia

Wolf parkinson white syndromeSlide 35

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 blackoutsSlide 36

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

    A 23 year old male with palpitationsSlide 37

    A 23 year old male with palpitations

    A 56 year old man with sob and raises jvpSlide 38

    A 56 year old man with SOB and raises JVP

    A 50 year old man with palpitationsSlide 39

    A 50 year old man with palpitations

    A 49 year old woman with pleuritic chest pain and sobSlide 40

    A 49 year old woman with pleuritic chest pain and SOB

    A 58 year old man on hemodialysis presents with weaknessSlide 41

    A 58 year old man on hemodialysis presents with weakness

    A 28 year old woman with prolonged vomitingSlide 42

    A 28 year old woman with prolonged vomiting

    A 64 year old woman on digoxinSlide 43

    A 64 year old woman on digoxin


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