ECG-Interpretation-1.pptx
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This document discusses ECG interpretation and common heart rhythms. It presents 10 case studies of patients with ECG readings and asks the reader to analyze the ECGs, make findings, and provide diagnoses. The cases include patients presenting with palpitations, chest pain, shortness of breath, fever, collapse, and those found unresponsive.
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This document contains 10 ECG recordings from patients presenting with various symptoms, along with background information on each case. The doctor is asking for interpretations of each ECG and recommendations for further evaluation or treatment. The cases include patients with chest pain, palpitations, breathlessness, dizzy spells, and one patient who collapsed.
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EKG Worksheet Answer each question below. Use complete
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Answer each question below. Use complete sentences when providing short answer responses.
1. You are the AGACNP in the emergency room. A 55-year-old Caucasian male with a past medical history of HTN, thyroid cancer, and diverticulitis presents with crushing chest pain. His chest pain developed one hour ago after eating a large steak and potato dinner. He states the pain is 10 out of 10 and is not relieved by antacids. He is also diaphoretic and anxious. You review his 12 lead EKG, as per below.
Using the EKG strip, answer questions A-D.
A. What part of the area of the heart is showing an evolving infarct?
a. Inferior
b. Anterior
c. Lateral
d. Posterior
B. Which leads show ST elevation?
a. II, III, AVL
b. V1-V3
c. II, III, AVF
d. II, III, AVR
C. Where would you expect to find reciprocal changes?
a. Reciprocal changes in at least AVL
b. Reciprocal changes in lead III
c. Reciprocal changes in lead IV and V
d. There are No reciprocal changes.
D. What coronary artery is the likely cause?
a. The Right Coronary artery in most cases as it is usually dominant, however in some patients the left circumflex is dominant and thus the culprit for an inferior MI.
b. The left anterior descending
c. The septal artery
d. none of the above
2. A 67-year-old female is your established cardiology patient. She is following up with you regarding her uncomplicated mitral valve stenosis. During the visit, she happens to mention that she has suffered 9 hours of chest pain and sweating, which takes you by surprise. Your patient further describes the pain as both gnawing and intermittent. She thought she was experiencing heartburn, but admits that she has never experienced heartburn before, so she is not sure. You perform a 12-lead EKG immediately and call 911.
Interpret the EKG recording below.
What area of the heart is involved, what is your diagnosis, and which coronary artery is affected?
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b. Inferior; this is a Non ST elevation MI (NSTEMI), and the right coronary artery is affected
c. Posterior; this is not an MI but does show ischemia, and the circumflex is involved
d. This simply pericarditis and thus the affected coronary arteries are not affected, the heart strain distribution is diffuse and global
3. What qualifies for “significant” ST elevation or depression in a 12 lead EKG- in the limb leads_(i)._____________? What is significant for the or the precordial leads_(ii)._____? These changes must be present in at least_(iii)___________consecutive leads in order to be considered diagnostic of myocardial pathology.
1. (i))1mm in a limb lead, (ii)1mm in precordial lead, (iii)and must be present 3 consecutive leads
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R.K. is an 85-year-old woman who lives with her husband, who is 87. Two nights before her
admission to your cardiac unit, she awoke with heavy substernal pressure accompanied by
epigastric distress. The pain was reduced somewhat when she rolled onto her side but did not
completely subside for about 6 hours. The next night, she experienced the same chest
pressure. The following morning, R.K.'s husband took her to the physician and she was
subsequently hospitalized to rule out myocardial infarction (MI). Laboratory specimens were drawn
in the emergency department. She was given an intravenous (IV) line, oxygen (O2) at 2 L via
nasal cannula, and 325 mg chewable, nonenteric-coated aspirin. You obtain the following
information from your history and physical examination: R.K. has no history of smoking or alcohol
use, and she has been in good general health, with the exception of osteoarthritis of her hands
and knees and some osteoarthritis of the spine. Her only medications are simvastatin (Zocor),
ibuprofen as needed for bone and joint pain, and herbs. Her admission vital signs (VS) are blood
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denies any discomfort at present. You place her on telemetry, which shows the rhythm in the
following figure.
Case Study Progress
After some rest, R.K.'s chest pain has subsided, and she tells you she feels much better now. You
review her laboratory results.
Chart View
Laboratory Results
12-lead ECG: Light left-axis deviation, normal sinus rhythm with no ventricular ectopy
Serial CPK tests are 30 units/L at admission, 32 units/L 4 hours after admission
Cardiac troponin T is less than 0.01 ng/mL (at admission) and same result 4 hours after admission
Cardiac troponin T is less than 0.03 ng/mL (at admission) and same result 4 hours after admission
D-dimer test result less than 250 ng/mL
Case Study Progress
R.K. has no further episodes of chest pain, and she is discharged to home the next day. She is to
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A 75-year-old retired teacher presents to your clinic, complaining of severe, unrelenting anterior chest pain radiating to her back. She describes it as if someone is “ripping out her heart.” It began less than an hour ago. She states she is feeling very nauseated and may pass out. She denies any trauma or recent illnesses. She states she has never had pain like this before. Nothing seems to make the pain better or worse. Her medical history consists of difficult-to-control hypertension and coronary artery disease requiring two stents in the past. She is a widow. She denies any alcohol, tobacco, or illegal drug use. Her mother died of a stroke and her father died of a heart attack. She has one younger brother who has had bypass surgery. On examination you see an elderly female in a great deal of distress. She is lying on the table, curled up, holding her left and right arms against her chest and is restless, trying to find a comfortable position. Her blood pressure is 180/110 in the right arm and 130/60 in the left arm, and her pulse is 120. Her right carotid pulse is bounding but the left carotid pulse is weak. She is afebrile but her respirations are 24 times a minute. On auscultation her lungs are clear and her cardiac examination is unremarkable. You call EMS and have her taken to the hospital’s ER for further evaluation.
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B) Pericarditis
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D) Pleural pain
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A) She obtains a 20% correct score at 100 feet.
B) She can accurately name 20% of the letters at 20 feet.
C) She can see at 2.
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Initials: J.S Age: 42 Sex: Male Race: African American
S.
CC:
“I am experiencing lower back pain that radiates to my left leg”
HPI
: Mr. Smith is a 42-year-old African American male who reports to the clinic complaining of lower back pain that periodically radiates to his left leg. The pain started about one month ago. The character of the pain is shooting and stabbing. It appears to get worse when sitting for an extended period of time, bending over and during strenuous physical activity. The severity of the pain is 8/10 without medications but relieves to about 3/10 after taking Tylenol and getting some rest.
Location: Lower back
Onset: 1 month
Character: Shooting and Stabbing
Associated signs and symptoms: nausea, vomiting, photophobia.
Timing: Sitting for extended periods, bending over and strenuous physical activity.
Exacerbating/ relieving factors: Tylenol and rest makes the pain tolerable, but not completely better.
Severity: 8/10 pain scale
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:
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Acetaminophen 500 mg tabs, 1-2 PO q 6 hrs, PRN for pain. (not to exceed 3 g in 24 hr).
PMHx:
Diagnosis: Hypertension
Surgical Hx:
Laparotomy, 02/2000
Immunizations:
Childhood immunizations completed. Tetanus and Flu shots are up-to-date.
Soc Hx:
Unemployed. Lives alone and never married. Has one brother and both parents are alive. Performs physical exercise regularly at the gym, and uses seat belts all the time when driving. Denies tobacco and alcohol use.
Fam Hx
: Father has a stroke and heart disease, Mother has hypertension, Brother has diabetes. Maternal and Paternal grandparents died of a stroke 2 years ago.
ROS
: BP - 140/90 L arm, P - 86, T - 98.1 oral, RR - 18, Ht. - 5’10”, Wt. - 200 lbs. BMI 28.7
GENERAL: No weight loss, fever, chills, weakness or fatigue.
HEENT: Eyes: No visual loss, blurred vision, doubles vision or yellow sclerae.
Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat.
Skin: No rash or itching. No skin lesions or moles that are new or suspicious.
CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema. No pleurisy pain, no hx of a heart murmur. No EKG on record. No peripheral edema or claudication. BP controlled with medication.
RESPIRATORY: No cough, sputum or SOB. No DOE, hemoptysis. Chest X-rays - 3 years ago.
GASTROINTESTINAL: No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood. No unintentional weight loss or gain. No change in bowel habits.
GENITOURINARY: No penile discharge or erectile dysfunction. No nocturia, dribbling, or incontinence.
NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control. No reports of numbness or tingling to the left leg since the onset of lower back pain.
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EKG Worksheet Answer each question below. Use complete
EKG Worksheet
Answer each question below. Use complete sentences when providing short answer responses.
1. You are the AGACNP in the emergency room. A 55-year-old Caucasian male with a past medical history of HTN, thyroid cancer, and diverticulitis presents with crushing chest pain. His chest pain developed one hour ago after eating a large steak and potato dinner. He states the pain is 10 out of 10 and is not relieved by antacids. He is also diaphoretic and anxious. You review his 12 lead EKG, as per below.
Using the EKG strip, answer questions A-D.
A. What part of the area of the heart is showing an evolving infarct?
a. Inferior
b. Anterior
c. Lateral
d. Posterior
B. Which leads show ST elevation?
a. II, III, AVL
b. V1-V3
c. II, III, AVF
d. II, III, AVR
C. Where would you expect to find reciprocal changes?
a. Reciprocal changes in at least AVL
b. Reciprocal changes in lead III
c. Reciprocal changes in lead IV and V
d. There are No reciprocal changes.
D. What coronary artery is the likely cause?
a. The Right Coronary artery in most cases as it is usually dominant, however in some patients the left circumflex is dominant and thus the culprit for an inferior MI.
b. The left anterior descending
c. The septal artery
d. none of the above
2. A 67-year-old female is your established cardiology patient. She is following up with you regarding her uncomplicated mitral valve stenosis. During the visit, she happens to mention that she has suffered 9 hours of chest pain and sweating, which takes you by surprise. Your patient further describes the pain as both gnawing and intermittent. She thought she was experiencing heartburn, but admits that she has never experienced heartburn before, so she is not sure. You perform a 12-lead EKG immediately and call 911.
Interpret the EKG recording below.
What area of the heart is involved, what is your diagnosis, and which coronary artery is affected?
a. Anterior part of the heart; this is an ST elevation myocardial infarction (STEMI); and the Left anterior descending is affected
b. Inferior; this is a Non ST elevation MI (NSTEMI), and the right coronary artery is affected
c. Posterior; this is not an MI but does show ischemia, and the circumflex is involved
d. This simply pericarditis and thus the affected coronary arteries are not affected, the heart strain distribution is diffuse and global
3. What qualifies for “significant” ST elevation or depression in a 12 lead EKG- in the limb leads_(i)._____________? What is significant for the or the precordial leads_(ii)._____? These changes must be present in at least_(iii)___________consecutive leads in order to be considered diagnostic of myocardial pathology.
1. (i))1mm in a limb lead, (ii)1mm in precordial lead, (iii)and must be present 3 consecutive leads
1. (i)1mm in a limb lead, (ii)2mm in precordial lead, (iii)and must be present 2 consecutive leads
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This patient presents with a 3 month history of right leg pain on walking that resolves with rest. Examination finds the right leg cooler with sparse hair and thin skin. All pulses are absent below the femoral pulse. Doppler ultrasound finds softer signals in the right leg arteries and an ankle brachial pressure index of 0.6 on the right and 0.8 on the left. The patient has risk factors of smoking and diabetes. The clinical diagnosis is peripheral arterial disease and the patient is advised on lifestyle changes and medication while further investigation and monitoring is recommended.
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Scenario
R.K. is an 85-year-old woman who lives with her husband, who is 87. Two nights before her
admission to your cardiac unit, she awoke with heavy substernal pressure accompanied by
epigastric distress. The pain was reduced somewhat when she rolled onto her side but did not
completely subside for about 6 hours. The next night, she experienced the same chest
pressure. The following morning, R.K.'s husband took her to the physician and she was
subsequently hospitalized to rule out myocardial infarction (MI). Laboratory specimens were drawn
in the emergency department. She was given an intravenous (IV) line, oxygen (O2) at 2 L via
nasal cannula, and 325 mg chewable, nonenteric-coated aspirin. You obtain the following
information from your history and physical examination: R.K. has no history of smoking or alcohol
use, and she has been in good general health, with the exception of osteoarthritis of her hands
and knees and some osteoarthritis of the spine. Her only medications are simvastatin (Zocor),
ibuprofen as needed for bone and joint pain, and herbs. Her admission vital signs (VS) are blood
pressure 132/84 mm Hg, pulse 88 beats/min, respirations 18 breaths/min, and oral temperature 99
F (37.2 C). Her weight is 114 lb and height is 5 ft, 4 in. Moderate edema of both ankles is
present; capillary refill is brisk and peripheral pulses are 1 +. You hear a soft systolic murmur. She
denies any discomfort at present. You place her on telemetry, which shows the rhythm in the
following figure.
Case Study Progress
After some rest, R.K.'s chest pain has subsided, and she tells you she feels much better now. You
review her laboratory results.
Chart View
Laboratory Results
12-lead ECG: Light left-axis deviation, normal sinus rhythm with no ventricular ectopy
Serial CPK tests are 30 units/L at admission, 32 units/L 4 hours after admission
Cardiac troponin T is less than 0.01 ng/mL (at admission) and same result 4 hours after admission
Cardiac troponin T is less than 0.03 ng/mL (at admission) and same result 4 hours after admission
D-dimer test result less than 250 ng/mL
Case Study Progress
R.K. has no further episodes of chest pain, and she is discharged to home the next day. She is to
see a cardiologist this week and set up an appointment for outpatient testing. As you present the
discharge instructions, you review the proper technique for taking sublingual nitroglycerin for chest
pain.
QUESTION:
REASON FOR SEEKING HEALTH CARE:
Priority Assessment:
four Problem/ Nursing, 5 interventions and 5 responses and evaluation for each diagnosis.
four Goal/Outcome,
Concept Map for CardiacConcept Map for Cardiac.
Approach To Patient With Chset Pain
This document discusses the approach to evaluating a patient presenting with chest pain in a primary care setting. It emphasizes that the history is the most important factor in diagnosis, not investigations alone. It provides examples of several cases presenting with chest pain and the most likely diagnosis based on factors like the patient's age, medical history, characteristics of the pain, and findings on examination. Common life-threatening causes of chest pain are discussed along with the limitations of some diagnostic tests.
Syncope-for-Residents-08.26.ppt
- An 80-year-old woman presented after two falls while ambulating at night in the past month
- Echocardiogram showed diastolic dysfunction and moderate mitral annular calcification
- ECG showed first degree AV block but was otherwise normal
- After the first fall she was advised to use a cane and rise slowly from bed
- Her daughter wants a second opinion
I would recommend a 24-hour Holter monitor to assess for transient heart block or bradycardia that could be contributing to her falls, especially during nighttime ambulation. Close monitoring of hydration and medication review is also warranted given her age and risk factors.
MIDTERM 634Is the following information subjective or objective.docx
MIDTERM 634
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective (Answer)
Which is the proper sequence of examination for the abdomen?
A) Auscultation, inspection, palpation, percussion
B) Inspection, percussion, palpation, auscultation
C) Inspection, auscultation, percussion, palpation
D) Auscultation, percussion, inspection, palpation
Mrs. R. is a 92-year-old retired teacher who comes to your clinic accompanied by her daughter. You ask Mrs. R. why she came to your clinic today. She looks at her daughter and doesn’t say anything in response to your question. This is an example of which type of challenging patient?
A) Talkative patient
B) Angry patient
C) Silent patient
D) Hearing-impaired patient
Which of the following is a clinical identifier of metabolic syndrome?
A) Waist circumference of 38 inches for a male
B) Waist circumference of 34 inches for a female
C) BP of 134/88 for a male
D) BP of 128/84 for a female
Bill, a 55-year-old man, presents with pain in his epigastrium which lasts for 30 minutes or more at a time and has started recently. Which of the following should be considered?
A) Peptic ulcer
B) Pancreatitis
C) Myocardial ischemia
D) All of the above
A 75-year-old retired teacher presents to your clinic, complaining of severe, unrelenting anterior chest pain radiating to her back. She describes it as if someone is “ripping out her heart.” It began less than an hour ago. She states she is feeling very nauseated and may pass out. She denies any trauma or recent illnesses. She states she has never had pain like this before. Nothing seems to make the pain better or worse. Her medical history consists of difficult-to-control hypertension and coronary artery disease requiring two stents in the past. She is a widow. She denies any alcohol, tobacco, or illegal drug use. Her mother died of a stroke and her father died of a heart attack. She has one younger brother who has had bypass surgery. On examination you see an elderly female in a great deal of distress. She is lying on the table, curled up, holding her left and right arms against her chest and is restless, trying to find a comfortable position. Her blood pressure is 180/110 in the right arm and 130/60 in the left arm, and her pulse is 120. Her right carotid pulse is bounding but the left carotid pulse is weak. She is afebrile but her respirations are 24 times a minute. On auscultation her lungs are clear and her cardiac examination is unremarkable. You call EMS and have her taken to the hospital’s ER for further evaluation.
What disorder of the chest best describes her symptoms?
A) Angina pectoris
B) Pericarditis
C) Dissecting aortic aneurysm
D) Pleural pain
A patient is assigned a visual acuity of 20/100 in her left eye. Which of the following is true?
A) She obtains a 20% correct score at 100 feet.
B) She can accurately name 20% of the letters at 20 feet.
C) She can see at 2.
E. carlson exercise and the heart
Erick Carlson, MD presents "Exercise and the Heart" at the March 4 -6, 2016 Cardiac and Thoracic Surgery Associates, Cardiovascular Summit at The Westin Riverfront Resort and Spa.
CASE DISCUSSION
A 65-year-old man presented with transient loss of consciousness, vision in his right eye, and previous transient slurred speech. Examination found high blood pressure, displaced heartbeat, murmur, and no pulses below the thighs. Tests showed atrial fibrillation, old heart attack, carotid stenosis, and a left atrial thrombus. He was diagnosed with a stroke caused by the thrombus, and treated with blood pressure medication and anticoagulants.
Prevention and Treatment of the Heart diseases
The document discusses advances in the prevention and treatment of heart disease in India. It notes that heart disease occurs 10 years earlier in Indians compared to Westerners, and the incidence is three times higher in urban areas. While lifestyle changes, stress, and other risk factors have increased heart disease rates, advances in prevention through lifestyle modification and regular checkups as well as new treatment options like angioplasty, stents and bypass surgery are helping reduce mortality from heart attacks.
I need a response to this assignmentzero plgiarismthree refe.docx
I need a response to this assignment
zero plgiarism
three references
Initials: J.S Age: 42 Sex: Male Race: African American
S.
CC:
“I am experiencing lower back pain that radiates to my left leg”
HPI
: Mr. Smith is a 42-year-old African American male who reports to the clinic complaining of lower back pain that periodically radiates to his left leg. The pain started about one month ago. The character of the pain is shooting and stabbing. It appears to get worse when sitting for an extended period of time, bending over and during strenuous physical activity. The severity of the pain is 8/10 without medications but relieves to about 3/10 after taking Tylenol and getting some rest.
Location: Lower back
Onset: 1 month
Character: Shooting and Stabbing
Associated signs and symptoms: nausea, vomiting, photophobia.
Timing: Sitting for extended periods, bending over and strenuous physical activity.
Exacerbating/ relieving factors: Tylenol and rest makes the pain tolerable, but not completely better.
Severity: 8/10 pain scale
Current Medications
:
Metoprolol 100 mg tablet, PO once daily.
Acetaminophen 500 mg tabs, 1-2 PO q 6 hrs, PRN for pain. (not to exceed 3 g in 24 hr).
PMHx:
Diagnosis: Hypertension
Surgical Hx:
Laparotomy, 02/2000
Immunizations:
Childhood immunizations completed. Tetanus and Flu shots are up-to-date.
Soc Hx:
Unemployed. Lives alone and never married. Has one brother and both parents are alive. Performs physical exercise regularly at the gym, and uses seat belts all the time when driving. Denies tobacco and alcohol use.
Fam Hx
: Father has a stroke and heart disease, Mother has hypertension, Brother has diabetes. Maternal and Paternal grandparents died of a stroke 2 years ago.
ROS
: BP - 140/90 L arm, P - 86, T - 98.1 oral, RR - 18, Ht. - 5’10”, Wt. - 200 lbs. BMI 28.7
GENERAL: No weight loss, fever, chills, weakness or fatigue.
HEENT: Eyes: No visual loss, blurred vision, doubles vision or yellow sclerae.
Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat.
Skin: No rash or itching. No skin lesions or moles that are new or suspicious.
CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema. No pleurisy pain, no hx of a heart murmur. No EKG on record. No peripheral edema or claudication. BP controlled with medication.
RESPIRATORY: No cough, sputum or SOB. No DOE, hemoptysis. Chest X-rays - 3 years ago.
GASTROINTESTINAL: No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood. No unintentional weight loss or gain. No change in bowel habits.
GENITOURINARY: No penile discharge or erectile dysfunction. No nocturia, dribbling, or incontinence.
NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control. No reports of numbness or tingling to the left leg since the onset of lower back pain.
MUSCULOSK.
HISTORY- Mr- Alcot is a 68 year old man who developed a harsh- product.pdf
HighValu Incorporated manufactures a moderately priced set of lawn furniture (a table and four
chairs) that it sells for $260. The company currently manufactures and sells 6,700 sets per year.
The manufacturing costs include $92 for direct materials and $52 for direct labor per set. The
overhead charge per set is $42, which consists entirely of fixed costs.
HighValu is considering a special purchase offer from a large retail firm, which has offered to
buy 670 sets per year for three years at a price of $178 per set. HighValu has the available plant
capacity to produce the order and expects no other orders or profitable alternative uses of the
plant capacity.
Required:
1. What is the total relevant cost per unit to produce the units requested by the retail firm?
2. What is the estimated net effect on annual operating income if HighValu accepts the special
sales order?.
Beating Heart Problems
The document discusses cardiovascular disease and heart problems. It notes that cardiovascular disease is the #1 killer worldwide and discusses various treatments for heart disease like bypass surgery, stents, and transplants. However, it states that these treatments do not address the underlying causes of heart disease. The document emphasizes that stress and an overactive nervous system can lead to heart problems by disrupting the brain's regulation of the heart rate. Maintaining an appropriate heart rate during exercise is important to avoid potential heart issues.
UCMS: Prelim Medical Quiz2018
- An 8-year-old boy presented with developmental delay, seizures, mandibular prognathism, strabismus, and unusual facial expressions. Exams found unsteady gait but normal muscle tone and reflexes.
- Genetic testing identified the genetic basis as Angelman syndrome.
Nhi march 2013
The document discusses various ECG patterns seen in acute clinical settings. It is divided into four themes: 1) Bradyarrhythmias such as AV block, 2) Narrow complex tachycardias including AVNRT, AVRT, AT and JT, 3) Wide complex tachycardias which could indicate ventricular tachycardia, aberrant conduction or pre-excitation, and 4) Miscellaneous patterns like those seen in renal failure, channelopathies or following resuscitation. Each theme provides example ECGs and patients for discussion to help identify the underlying rhythm or condition.
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EKG Worksheet Answer each question below. Use complete
EKG Worksheet Answer each question below. Use complete
Scenario RK is an 85yearold woman who lives with her hus.pdf
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MIDTERM 634Is the following information subjective or objective.docx
MIDTERM 634Is the following information subjective or objective.docx
I need a response to this assignmentzero plgiarismthree refe.docx
I need a response to this assignmentzero plgiarismthree refe.docx
HISTORY- Mr- Alcot is a 68 year old man who developed a harsh- product.pdf
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- 26. ECG INTERPRETATION ACTIVITY 1. A 35 year old man presents with palpitations. He has been drinking heavily with friends over the weekend. This is his ECG. Present your findings and give a diagnosis.
- 27. 2. A 45 year old business man presents with a feeling that his heart is racing. He also has some shortness of breath. This is his ECG. Present your findings and give a diagnosis.
- 28. 3. A 75 year old man with a history of COPD presents with fever and increased sputum production. An ECG is taken in the emergency department. What does it show?
- 29. 4. A 65 year old man is found unresponsive. He has no central pulse and is making no respiratory effort. Surprisingly someone has done an ECG. What would you do?
- 30. 5. A fit and well 31 year old man presents for a routine insurance medical. This is his ECG. Present your findings and give the diagnosis.
- 31. 6. A 65 year old man with a history of ischaemic heart disease is found unresponsive. He has no central pulse and is making no respiratory effort. This is his ECG. What is the diagnosis and what will you do?
- 32. 7. A 40 year old lady comes to the emergency department from her husband’s funeral with a sensation of ‘fluttering’ in her chest. She is feeling very anxious. An ECG is performed. What is the diagnosis?
- 33. 8. A 58 year old man who attends the emergency department with chest pain loses consciousness whilst he is having his initial ECG. He has no central pulse and is taking occasional deep breaths. What is going on?
- 34. 9. A 72 year old lady presents with collapse. This is her ECG. Present your findings. How would you proceed?
- 35. 10. A 60 year old man presents with tight central chest pain radiating to his left shoulder. This is his initial ECG. Present your findings and give a diagnosis.