ECGWeekly

A 60 yo presents with palpitations and an irregular wide-complex tachycardia. The computer calls atrial fibrillation with a left bundle branch block, but a subtle clue in the precordial leads suggests this is more than just an arrhythmia.......ecgweekly.com/weekly-workout…

A 68 yo man has a second syncopal episode while lying on a stretcher during evaluation. He remains lightheaded with borderline bp and a ventricular rate in the low 50s. The ECG shows electrocardiographic polyuria, with more atrial activity......ecgweekly.com/weekly-workout…

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A 49 yo man arrives with palpitations and chest discomfort. The monitor shows an irregular, wide-complex tachycardia with varying morphology and rates nearing 250 to 300 bpm. The team debates polymorphic VT versus another high-risk rhythm......ecgweekly.com/weekly-workout…

A 53-year-old man presents with palpitations and lightheadedness. The following ECG is obtained on arrival and appears very rapid and irregular with changing QRS morphologies. He starts showing signs of instability shortly after arrival........ecgweekly.com/weekly-workout…

A young man with recurrent palpitations presents to the ED hemodynamically stable during an episode. The arrival ECG shows a wide complex, regular tachycardia and the computer interpretation...........ecgweekly.com/weekly-workout…

A critically ill 38 yo man presents hypotensive, pale, and diaphoretic with abdominal pain and rectal bleeding. Upright chest X-ray shows free air under the diaphragm, and the patient is headed urgently to the OR. The following pre-op ECG is obtained......ecgweekly.com/weekly-workout…

A 54 yo m is presented to the emergency department by EMS with acute shortness of breath. A prehospital ECG triggers a STEMI alert based on the computer interpretation. The tracing shows dramatic ST-segment abnormalities that appear convincing at first....ecgweekly.com/weekly-workout…

A 68 yo man is brought to the emergency department by EMS with acute chest discomfort. The following prehospital ECG was obtained and shows concave ST elevation across multiple leads. The computer interprets the tracing as benign early repolarization.....ecgweekly.com/weekly-workout…

A 51-year-old man with lung cancer presents with shortness of breath and tachycardia. The arrival ECG shows an S1Q3 pattern and seems to support a familiar diagnosis that would normally trigger immediate anticoagulation.....ecgweekly.com/weekly-workout…

A 43-year-old woman with sharp left-sided chest pain and minimal cardiac risk factors has an initial ECG that is not diagnostic for STEMI. She looks stable, but one feature on the ECG is hard to ignore....ecgweekly.com/weekly-workout…

A 68 yo man presents after syncope with profound bradycardia. The ECG shows a very slow ventricular rate with high-grade AV block. The reflex move is to focus only on pacing, but the tracing has additional clues that....ecgweekly.com/weekly-workout…

ECGWeekly Case of the Week: Subtle reciprocal changes—especially T-wave inversion or ST depression in aVL—may precede ST elevation in early inferior STEMI. When symptoms persist, repeat the ECG. Early recognition matters.

A 62-yo man presents to the emergency department with acute chest pain associated with diaphoresis. He has cardiac risk factors including tobacco use. An initial 12-lead ECG is obtained on arrival and is read by the computer as non-acute with no clear......ecgweekly.com/weekly-workout…

A 92 yo presents to the emergency department with gradually worsening dyspnea on exertion that has progressed to exertional chest “fullness”. He is asymptomatic on arrival with normal vitals. The following arrival ECG is obtained....ecgweekly.com/weekly-workout…

A 35-year-old woman arrives at the emergency department after a witnessed seizure and brief cardiac arrest with ROSC. Her arrival ECG shows a very wide complex rhythm that the machine labels as ventricular tachycardia......ecgweekly.com/weekly-workout…

A 48-year-old woman presents two days after Thanksgiving with severe weakness, palpitations, and mild chest discomfort. Her ECG appears to show a very wide complex regular tachycardia at 119 bpm.....ecgweekly.com/weekly-workout…

A 38 yo Kenyan man presents to a Haitian clinic with 3 days of low sternal and epigastric pain radiating to the neck, plus exertional dyspnea while working in a hot environment. The following ECG is obtained and appears to show a large anterior STEMI....ecgweekly.com/weekly-workout…

A 71 yo F with baseline dementia presents with worsened confusion, nausea, and multiple episodes of vomiting over the past 24 hours. An ECG obtained on arrival shows deep T wave inversions and QT prolongation. Many would suspect cerebral T waves...... rebrand.ly/j0myee3

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