Skip to main content

ECG Collection 4

Ecg case studies


ECG Collection 4:

(Paper speed is 25mm/sec and voltage calibration is 10mm/mV.
Click on ECG image to enlarge.)

  1. A 80 year old man with severe Left ventricular systolic dysfunction secondary to ischemic cardiomyopathy
  2. A 65 year old smoker came for follow up in cardiology clinic
  3. A 60 year old man came for preop cardiac evaluation
  4. A 80 year old man with history of coronary artery disease ( posterior wall myocardial infarction), now presented with tachycardia
  5. A 77 year old male with history of syncope
  6. A 90 year old female with a history of paroxysmal atrial fibrillation presented with CHF Exacerbation
  7. A 58 year old male presented in emergency room unresponsive
  8. A 22 year old female with history of a recent syncopal episode which occurred after she had been standing 
  9. A 55 year old woman with dyspnea diagnosed as having recurrent pulmonary emboli 
  10. Elderly male known case of chronic renal failure presented for follow up in renal department for opinion on hemodialysis
  11. A 50 year old man diagnosed case of dilated cardiomyopathy presented with dyspnea 
  12. Elderly male known case of chronic renal failure presented for follow up in renal department for opinion on hemodialysis 
  13. ECG of a 35 year old woman who survived sudden cardiac arrest and now scheduled for ICD implantation
  14. 60 year old man presented with chest pain, labs showed elevated troponin I levels
  15. A young female presents with a history of palpitations and has high grade ventricular arrhythmias
  16. 67 year old woman presented with palpitations
  17. A 50 year old female with no known co-morbids, admitted for lap chole
  18. 67 year old male admitted with COVID 19 infection complaining of palpitations  
  19. A 57 year old patient with a history of severe idiopathic dilated cardiomyopathy
  20. A 60 year old female presented in cardiology clinic with irregular pulse 
  21. 90 year old man with a history of coronary bypass surgery presented with dyspnea 
  22. 58 year old man admitted with COVID 19 infection leading to multiorgan failure and sepsis
  23. A 30 year old female found unresponsive on the side of swimming pool
  24. 85 year old man with history of heart failure and atrial fibrillation admitted in ICU 
  25. 70 year old female admitted with acute cholecystitis, complaining of palpitations



End of this section
Go to Main ECG page to view more collections
 

      Comments

      Popular posts from this blog

      Brugada ECG vs Incomplete Right Bundle Branch Block (iRBBB)

      Brugada ECG vs Incomplete Right Bundle Branch Block (iRBBB) Why this differentiation matters Brugada pattern is a malignant channelopathy associated with sudden cardiac death, while incomplete RBBB is usually a benign conduction variant. Mislabeling Brugada as iRBBB can be fatal; overcalling iRBBB as Brugada can lead to unnecessary anxiety and ICD implantation. --- 1. Basic Definitions Brugada ECG Pattern Primary repolarization abnormality Genetic sodium-channel disorder Characteristic ST-segment elevation in V1–V3 Risk of ventricular fibrillation and sudden death Incomplete RBBB (iRBBB) Depolarization abnormality Delay in right ventricular conduction Common in healthy individuals Usually asymptomatic and benign --- 2. ECG Morphology: Side-by-Side Comparison QRS Duration Brugada: QRS usually <120 ms iRBBB: QRS <120 ms, but with RBBB morphology --- V1–V2 Pattern (Key Differentiator) Brugada Pseudo-RBBB appearance ST elevation ≥2 mm ST segment is coved or saddleback Terminal QRS bl...

      Acute Treatment of Hyperkalemia

      Acute Treatment of Hyperkalemia – A Practical, Bedside-Oriented Guide Hyperkalemia is a potentially life-threatening electrolyte abnormality that demands prompt recognition and decisive management. The danger lies not only in the absolute potassium value but in its effects on cardiac conduction, which can rapidly progress to fatal arrhythmias. Acute treatment focuses on three parallel goals: stabilizing the cardiac membrane, shifting potassium into cells, and removing excess potassium from the body. Understanding this stepwise approach helps clinicians act quickly and rationally in emergency settings. Why Hyperkalemia Is Dangerous Potassium plays a key role in maintaining the resting membrane potential of cardiac myocytes. Elevated serum potassium reduces the transmembrane gradient, leading to slowed conduction, ECG changes, ventricular arrhythmias, and asystole. Importantly, ECG changes do not always correlate with potassium levels, so treatment decisions should be based on clinical c...

      π˜Όπ™£π™©π™žπ™˜π™€π™–π™œπ™ͺπ™‘π™–π™©π™žπ™€π™£ π˜Όπ™›π™©π™šπ™§ π™Žπ™©π™§π™€π™ π™š

       π˜Όπ™£π™©π™žπ™˜π™€π™–π™œπ™ͺπ™‘π™–π™©π™žπ™€π™£ π˜Όπ™›π™©π™šπ™§ π™Žπ™©π™§π™€π™ π™š in  Patient with AF and acute IS/TIA European Heart Association Guideline recommends: • 1 days after TIA • 3 days after mild stroke • 6 days after moderate stroke • 12 days after severe stroke Early anticoagulation can decrease a risk of recurrent stroke and embolic events but may increase a risk of secondary hemorrhagic transformation of brain infarcts.  The 1-3-6-12-day rule is a known consensus with graded increase in delay of anticoagulation between 1 and 12 days after onset of ischemic stroke or transient ischemic attack(TIA), according to neurological severity based on European expert opinions. However, this rule might be somewhat later than currently used in a real-world practical setting.