ECG Blog #434 — WHY Did this Patient Arrest?
My ECG Interpretation Blog
by ECG Interpretation
3d ago
The ECG in Figure-1 — was obtained from a middle-aged man who presented to the ED (Emergency Department) in cardiac arrest. ROSC (Return Of Spontaneous Circulation) was obtained — and ECG #1 was recorded. In view of this history — How would YOU interpret the ECG in Figure-1? Should you activate the cath lab? Figure-1: The initial ECG in today's case. (To improve visualization — I've digitized the original ECG using PMcardio).  MY Initial Thoughts: Although there are different approaches regarding decision-making as to wh ..read more
Visit website
ECG #433 — Which Lead Convinced Me?
My ECG Interpretation Blog
by ECG Interpretation
1w ago
The ECG in Figure-1 was obtained from a previously healthy older man — who presented to the ED (Emergency Department) with new but atypical CP (Chest Pain) for several hours. QUESTIONS: Given this history — How would YOU interpret this ECG? Which lead is the most concerning? Figure-1: The initial ECG in today's case. (To improve visualization — I've digitized the original ECG using PMcardio).  MY Initial Thoughts on Today’s ECG: The older age of today’s patient — and the fact that he presents to the ED for new C ..read more
Visit website
ECG Blog #432 — "Should I Shock this Patient?"
My ECG Interpretation Blog
by ECG Interpretation
2w ago
I was sent the ECG in Figure-1 — without the benefit of any history. Is this VT? What is the 1st thing — that YOU would do? Figure-1: I was sent this ECG without any history. Is this VT? MY Thoughts on Today’s CASE: As tempting as it might be to reach for the defibrillator on seeing the ECG shown in Figure-1 — My initial reaction was different. At 1st glance, my impression from seeing ECG #1 — was that the rhythm is very fast and irregular — with a highly variable QRS morphology — and, without atrial activity. These initial observations clearly ..read more
Visit website
ECG Blog #431 — My New ECG-Rhythm Podcasts!
My ECG Interpretation Blog
by ECG Interpretation
2w ago
================================= I recently recorded a series of 4 podcasts regarding KEY concepts in ECG interpretation. g KEY concepts in ECG interpretation. Easy LINKS — tinyurl.com/KG-ECG-Podcasts                               —  https://tinyurl.com/KG-Blog-431 — Other ECG Audio PEARLS I previously made for my ECG Blog can be found in the right column of each page on this blog just below this icon — under, "ECG Audio PEARLS".  ..read more
Visit website
ECG Blog #430 — Just a Regular LBBB ECG?
My ECG Interpretation Blog
by ECG Interpretation
1M ago
The ECG in Figure-1 — was obtained from an older man who had just completed dialysis — and, is now complaining of abdominal discomfort that radiates to his chest. The consultant interpreted this tracing as “LBBB” (Left Bundle Branch Block) — but not indicative of anything acute. QUESTIONS:  Do you agree with the consultant’s interpretation? How would YOU approach this case? Figure-1: The initial ECG in today's case. (To improve visualization — I've digitized the original ECG using PMcardio).  MY Initial Thoughts on ..read more
Visit website
ECG Blog #429 — Mobitz I or Mobitz II?
My ECG Interpretation Blog
by ECG Interpretation
1M ago
The 12-lead ECG and long lead II rhythms shown in Figure-1 — was obtained from an older man with a recent history of “easy fatiguability” and a presyncopal episode. QUESTIONS: How would YOU interpret the ECG in Figure-1? Is the group beating due to the Mobitz I or Mobitz II type of 2nd-degree AV block? Figure-1: The initial ECG in today’s case.  MY Initial Thoughts on Today’s CASE: For clarity, given the above clinical history — I present my initial thoughts regarding clinical interpretation of today’s initial ECG in th ..read more
Visit website
ECG Blog #428 — How Much to Do at Age 92?
My ECG Interpretation Blog
by ECG Interpretation
1M ago
I was sent the tracing in Figure-1 — with the following information: 92-year old patient with a history of "known arrhythmia" and hypertension. The patient was asymptomatic at the time ECG #1 was obtained — with the ECG presumably being recorded because an irregular rhythm was heard on auscultation.  QUESTIONS: How would YOU interpret the rhythm in Figure-1? How much should we do for this 92-year old patient? Extra Credit: Which arm or leg is most responsible for the artifact seen in today's initial ECG? Figure-1: The initial ECG in t ..read more
Visit website
ECG Blog #425 — Are there P Waves?
My ECG Interpretation Blog
by ECG Interpretation
2M ago
I was sent the ECG in Figure-1 — told only that the patient was 70 years old, and had a history of an ASD (Atrial Septal Defect).  Serum K+ was normal. The patient was hemodynamically stable with ECG #1. QUESTIONS: How would YOU interpret the rhythm in Figure-1? Are there P waves? Figure-1: The initial ECG in today's case. MY Initial Thoughts on Today's CASE: Knowing that today's patient has a history of an ASD (Atrial Septal Defect) — is relevant to the interpretation of today's interesting tracing! There are many variations of ASDs — w ..read more
Visit website
ECG Blog #424 — Proportionality and the "Cut Off" ...
My ECG Interpretation Blog
by ECG Interpretation
2M ago
The ECG in Figure-1 was obtained from a middle-aged woman — who presented with low back pain, shortness of breath and marked hypertension — but no CP (Chest Pain). QUESTIONS: In view of this history — How would YOU interpret this ECG? Are the large, peaked T waves (especially in lead V2) — likely to indicate hyperacute deWinter T waves? Figure-1: The initial ECG in today's case. PEARL #1: Did YOU notice that S wave amplitude is cut off in leads V2 and V3? (and possibly also in lead V1).  As a result — We have&nbs ..read more
Visit website
ECG Blog #423 — Flank Pain, Heartburn & an ECG
My ECG Interpretation Blog
by ECG Interpretation
2M ago
I was sent the ECG in Figure-1 with the information that this man in his 60s presented to the ED (Emergency Department) — for flank pain of several days duration (that he thought was from a kidney stone) and an intermittent "heartburn" sensation over the past few weeks. QUESTIONS: Given the above history — How would YOU interpret this patient's initial ECG, that was obtained on arrival in the ED? Should you activate the cath lab?  Figure-1: The initial ECG in today's case. (To improve visualization — I've digitized the original ECG u ..read more
Visit website

Follow My ECG Interpretation Blog on FeedSpot

Continue with Google
Continue with Apple
OR