Hello everyone, was a Paramedic attending to at 60yo Female complaining of non radiating centralised chest tightness and SOB, noted she has history of IHD.
I was wondering how would everyone here interpret ECGespecially the inferior and lateral leads, with it having that small consistent notch in the QRS complexes, was thinking either a inferior STEMI or somehow an RBBB morphology in the inferior leads.
Thank you everyone!!
C/c came in as back pain and weakness. After assessment, pt advises radiating pain to left shoulder. Initial strip showed elevation in lateral, anterior, and septal. After a few minutes Lateral leads decreased. Blood pressure dropped from 117 systolic at home to 65/40 in rescue to 48/20 in the ED causing patient to go in to VTACH while in cath lab. 4 total stents.
hi just had a small argument in the ER with a nurse about the following ecg and i am very confused
to make it fun im not gonna say who argued what side, question being:
Sinus or AFIB
what team are yall on
33M complaining of heart palpitations, no prior ecg, no family history. Does it look like s1q3t3? Not mine
A clinic ive recently started working in does ECGs for starting lisdexamphetamine (even though doesnt appear to be supported by guidelines in asymptomatic individuals)
30 year old male normotensive, no personal or family history of any description with new inferolateral T waves Inversions (not seen on previous ecg 2 years prior) no long QT or arrhythmias
No murmurs or SOB
Awaiting Cardiologist opinion. I wonder how helpful it is to do screening ECGs in asymptomatic people. May end up getting an echo
20M complains of tachycardia lasting all day. No significant PMH
ECG of a 43yof c/ vomiting, nausea, pins and needles, loose stools & hyperventilating
28 year-old male with diagnosed arrhythmias and on the waiting list for ablation.
Thoughts on this strip? Suspected flecainide toxicity due to reduced kidney function as detected via bloods on admission. Toxicology results pending.
Edit to fix the typo with the age.
Hi! I am an internist based in Europe, and I have created a med-ed tool for lectures, exams, and simulations.
www.squiggler.io
It allows you to create a rhythm strip or 12-lead, with physiological modelling underneath, with realistic renders and a lot of tuning possibilities etc to get just the ECG that is suitable for your teaching case/sim etc.
For those of us preparing a lecture who don't have the time or possibility to dig out old patient ECGs and fiddle with covering up patient identifiers, writing a textbook (and dont want to pay licencing fees for images from the web), or want dynamic ECG outputs during a sim case.
This was a side-project that turned serious. Yes, it is commercial but I hope someone that teaches needs this and wants to try it out!
All the best!
70M admitted last night from OSH for a SAH. He was “Kentucky Healthy” with PMHx of DM2, HTN, & HLD - all managed well with medication. No cardiac history.
We received paperwork from the rural ER and this ECG was included. He presented with a severe HA and N/V, no cardiac symptoms noted in his paperwork. The ER physician had written “No STEMI, but consult cardiology” but I am really struggling to see why.
I can spot the limb lead reversal, but other than that it looks fairly unremarkable to me. What am I missing? Can anybody point out why the ER doc recommended a cards consult based on this?
Please share Apple watch ecgs that might have actually caught abnormalities in the comment section.
This post is purely out of curiosity and for a tiny independent study, none of the information will be posted anywhere without consent if it goes any further
I think we all can constantly see that people post their watch ecgs asking for advice in different forums.
Normally it ends in the same conclusion :
«Go seek medical attention if you are experiencing symptoms»
But this is for people who did so and found that there actually was something going on and might have caught it on a watch, or doctors who had patients who did. even if the readings wasn’t super clear, We are interested in seeing readings taken while having symptoms that you later found the explanation for or readings that was possibly showing clues that a watch was not designed for.
Thank you in advance too the people who actually post. And I would really appreciate some context with a picture of the strip you belive caught something or led to a referral that found it might have had some merit too it.
Disclaimer:
Watches are not real medical equipment and should never be a substitute for seeking medical attention. if you are experiencing worrisome symptoms.
And Please don’t use the possible recordings posted to scare or diagnose yourself.
Dealing with this lovely gentleman with more ER admissions then I have fingers and toes.
I fear our ER Consultant has told him this is a normal ECG (that is no obvious acute infarct...) due to our tox screen coming back positive for Methamphetamine and his prior history.
I am not qualified to read this ECG yet, however does this not have have all the hallmarks of acute Pericarditis, with ongoing ischemia likely caused by massive Vasoconstriction? And LVH or P Mitrale?
Id like to help this man before he is discharged he's in overnight on Gylcophos.
Thank you.
Unfortunately I'd like to keep my job for tonight so I will keep my mouth shut until I can talk with the Patient Liaison Team
Wanted an opinion of these ECGs if anyone fancied giving theirs! I couldn’t come to a conclusion about this and I do struggle with ECGs!
Patient is 93M. Observations taken by nursing home staff TDS. Found to have 2/7 history of intermittent tachycardia. Called EMS for ECG and ?conveyance to ED.
Patient is asymptomatic, and has been throughout. Has had hx of atrial flutter. Is anticoagulated and on bisoprolol.
Thank you!
I’m a 4th year headed for EM and really need help with my ECG interpretation. everyone says you just need to look at hundreds, but all the resources people give me show me either super easy stuff I can quickly identify (the major rhythms basically) or super complex stuff I haven’t even heard of when they tell me what it is lol. I feel like I need a more methodical introduction that builds step by step with practice problems, like a uworld of ECGs or something. I’ve even considered hiring a tutor or something
any suggestions?
70 year old female with sepsis secondary to lower limb cellulitis, associated with elevated inflammatory markers. Elevated NT-proBNP and elevated but down-trending troponin-T. Patient was hemodynamically stable without symptoms of heart failure or acute coronary syndrome at present.