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Normal ECG

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.

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Normal ECG

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  1. Normal ECG

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

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

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

  5. A 53 year old man with Ischaemic Heart Disease.

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

  7. An 83 year old man with aortic stenosis.

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

  9. A 59 year old woman with chronic bronchitis.

  10. An 84 year old woman with hypertension

  11. A 73 year old woman with dizziness.

  12. A 70 year old man with exercise intolerance.

  13. An 82 year old lady with dizzy spells

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

  15. A 90 year old lady with syncope.

  16. A 34 year old woman with asthma

  17. A 60 year old man with HTN

  18. A48 year old man with palpitation

  19. A 76 year old man with SOB

  20. A 60 year old woman with HTN

  21. A 68 year old women on Digoxin complaining of fatigue

  22. A 57 year old woman with palpitations

  23. A woman with Romano-Ward Syndrome

  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

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

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

  27. A 69 year old man 2weeks post IWMI

  28. A 60 year old man with IHD

  29. A 36 year old woman with recurrent blackouts

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

  31. A 72 year old man with a permanent pacemaker

  32. What is the rhythm?

  33. Dual chamber pacer with an ICD

  34. A 25 year old man with bouts of tachycardia

  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

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

  37. A 23 year old male with palpitations

  38. A 56 year old man with SOB and raises JVP

  39. A 50 year old man with palpitations

  40. A 49 year old woman with pleuritic chest pain and SOB

  41. A 58 year old man on hemodialysis presents with weakness

  42. A 28 year old woman with prolonged vomiting

  43. A 64 year old woman on digoxin

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