The following ECG is from a 64-year-old man who presents with severe abdominal pain. He has been in the waiting room for the past three hours and the emergency buzzer sounds at triage as he has become acutely agitated.  Continue reading
Author Archives: Lorna
ECG of the Week May 22nd
The following ECG is given to you by your waiting room nurse who has assessed a 50-year-old man in the waiting room. He has presented with 5 days of intermittent chest pain but is currently pain free. He has no significant medical history.
What are the key abnormalities?
Are you happy for this patient to wait to be seen or does he need to be up triaged? Justify your answer.
ECG of the Week – 15th May 2024
The following ECG is from a 30-year-old female who presents with acute severe chest pain and collapse. She is 5 days post-partum. On arrival to ED her vital signs are as follows:
BP 80/50 RR 22 Sats 95% RA GCS 14 (E3 V5 M 6) Temp 37.5 Continue reading
ECG of the Week – 6th May 2024
The following ECG is from a 46-year-old male with an hour of chest pain. He has a background of hypertension, morbid obesity and is a heavy smoker.
Interpret the ECG.
With thanks to Svetlana for the ECG and interpretation.
ECG of the Week 24th April 2024
The following ECG is from an 80-year-old man who has been referred by his GP with worsening renal failure. He has a history of atrial fibrillation with bradycardia, for which he has a pacemaker. His medications include metoprolol 25mg BD.
ECG of the Week – April 10th 2024
The following ECG is from a 23-year-old male who presents following a syncopal episode with diaphoresis and hypotension.
Describe and interpret the ECG. What is your differential diagnosis?
With thanks to Svetlana for the ECG.
ECG of the Week March 20th
The following ECG is from a 65 year old lady who has presented with two hours of central chest pain. She has a history of hypertension and is a current smoker.
What are the key features on her ECG?
Outline your management for the patient.
ECG of the Week – March 13th 2024
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The following ECG was taken from a 36-year-old marathon runner presenting to the ED with acute gastroenteritis.
He was completely asymptomatic at the time the ECGs were taken, with normal blood pressure and no chest pain, palpitations or dizziness. Electrolytes were normal.  Continue reading
ECG of the Week – Feb 28th 2024
The following ECG is from a 40-year-old man who presents overnight with left sided sharp chest pain which has woken him from sleep. He describes the pain as radiating into his left arm. He looks well from the end of the bed and his observations are unremarkable.
He has a past medical history which is significant for hypertension, hypercholesterolaemia and a strong family history of ischaemic heart disease.
What are the key abnormalities and how will you manage this patient?
