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Normal ECG. A 55 year old man with 4 hours of "crushing" chest pain.

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Presentation on theme: "Normal ECG. A 55 year old man with 4 hours of "crushing" chest pain."— Presentation transcript:

1 Normal ECG

2 A 55 year old man with 4 hours of "crushing" chest pain.

3 A 63 year old woman with 10 hours of chest pain and sweating.

4 A 60 year old woman with 3 hours of chest pain.

5 A 53 year old man with Ischaemic Heart Disease.

6 A 79 year old man with 5 hours of chest pain.

7 An 83 year old man with aortic stenosis.

8 A 75 year old woman with loud first heart sound and mid- diastolic murmur.

9 A 59 year old woman with chronic bronchitis.

10 An 84 year old woman with hypertension

11 A 73 year old woman with dizziness.

12 A 70 year old man with exercise intolerance.

13 An 82 year old lady with dizzy spells

14 A 55 year old man with 4 hours of "crushing" chest pain.

15 A 90 year old lady with syncope.

16 A 34 year old woman with asthma

17 A 60 year old man with HTN

18 A48 year old man with palpitation

19 A 76 year old man with SOB

20 A 60 year old woman with HTN

21 A 68 year old women on Digoxin complaining of fatigue

22 A 57 year old woman with palpitations

23 A woman with Romano-Ward Syndrome

24 QTc Normal QTc Men < 0.43 –borderline o –prolonged >0.45 Women < 0.43 –borderline o –prolonged >0.47

25 A 50 year old man with chest pain for 2-4 hours

26 A 45 year old women with palpitation and a history of CRF

27 A 69 year old man 2weeks post IWMI

28 A 60 year old man with IHD

29 A 36 year old woman with recurrent blackouts

30 A 60 year old male with 2 hours of crushing chest pain suddenly collapses

31 A 72 year old man with a permanent pacemaker

32 What is the rhythm?

33 Dual chamber pacer with an ICD

34 A 25 year old man with bouts of tachycardia

35 short PR interval, less than 3 small squares (120 ms) slurred upstroke to the QRS indicating pre-excitation (delta wave) broad QRS secondary ST and T wave changes Localising the accessory pathway An accessory pathway, bundle of Kent, exists between atria and ventricles and causes early depolarisation of the ventricle. The location of the pathway may be deduced as follows:- LOCATION V1 V2 QRS axis left posteroseptal (type A) +ve +ve left right lateral (type B) -ve -ve left left lateral (type C) +ve +ve inferior (90 degrees) right posteroseptal -ve -ve left anteroseptal -ve -ve normal Wolf-Parkinson-White syndrome

36 A 47 year old man with a long history of palpitations and blackouts.

37 A 23 year old male with palpitations

38 A 56 year old man with SOB and raises JVP

39 A 50 year old man with palpitations

40 A 49 year old woman with pleuritic chest pain and SOB

41 A 58 year old man on hemodialysis presents with weakness

42 A 28 year old woman with prolonged vomiting

43 A 64 year old woman on digoxin


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