ECG Cases

76-M with severe valvular aortic stenosis awaiting AVR presented to the hospital with recurrent dizziness and a witness syncopal event. In the ER, he is ‘dizzy’ and somewhat ‘drowsy’. His BP was measured at 90/60 mmHg with a pulse rate of 140/min. A 12-lead ECG was obtained and shown to you. 1.Wha

This was a 75-year-old male with a prior anterior wall MI in 2012, then acute LAD stent thrombosis in 2019. He presented this with severe ischemic chest pain. What is the next step?

For the same previous 78-year-old lady, you decided to administer diltiazem to slow down the ventricular rate and also once slowed down carefully scrutinize atrial activity to determine if this truly was AF or atrial tachycardia/flutter with variable AV conduction. While preparing the drug, the moni

A cardiac arrest alert sounded on the orthopedic surgery ward. When you arrived, CPR was already started by the intern and nursing staff with the 3rd cycle underway. You ask "what was the rhythm?" and the nursing supervisor recording the events responded "PEA!". The intern runs to you saying "this

A frail 95-year-old patient was brought into the emergency department with poor oral intake and increasing lethargy for 5-days. She is legally blind, bed-bound for multiple years. She developed fever and cough at home and had tested positive for SARS-CoV-2 virus at the time of symptoms onset 5-days

This 48-year-old diabetic and obese man presented to the hospital with severe crushing chest pain. He had been experiencing on-and-off pain for 2 days prior to presentation. This time, the pain was unusually severe and constricting in nature and associated with dizziness and palpitations. Upon arriv

A 78-year-old lady with long-standing hypertension on amlodipine was brought into hospital after seemingly 'passing-out' at home earlier in the day. This happened suddenly and without warning. She endorsed palpitations a few minutes prior to fainting. These palpitations have apparently been troublin

This ECG belongs to a 56-year-old patient who was admitted by your colleague the previous night with hypercapnic respiratory failure. She was in cardiogenic shock with pulmonary edema. After intubation and mechanical ventilation, she was started on parenteral furosemide infusion and intravenous