The document discusses ECG interpretation in clinical practice. It introduces ECG as a basic diagnostic tool in cardiology that has been used for over a century. While ECGs can be life-saving, they are also sensitive and produce false positives. Good clinical history and examination combined with ECG can diagnose most cases, as cardiac diagnoses should not be made based on isolated investigations alone. The document then presents several case studies of patients presenting with chest pain to illustrate challenges in ECG interpretation.

1. ECGS INTERPRETATION IN CLINICAL
PRACTICE
DR.NAGULA PRAVEEN
MD,DM (CARDIOLOGY)

2. INTRODUCTION
 ECG is the basic diagnostic tool in Cardiology.
 Invented more than century ago, it still forms the basis for cardiac diagnosis and
triaging patients.
 ECG interpretation is most important as it can be life saving in most of the cases.
 However, ECG is most sensitive and lot of them are false positive.
 Good clinical history and clinical examination when combined with ECG almost all
diagnoses the case.
 Cardiac diagnosis based on investigations is in total and not in isolation.

3. 57- YEAR FEMALE, WITHOUT PREVIOUS HEART DISEASE
EXCEPT HYPERTENSION, PRESENTS WITH CHEST PAIN.

4. HISTORY OF CAD, PRESENTED WITH SOB

5. YOUNG MALE, PARTICIPATED IN RUNNING FOR
SELECTION, CHEST PAIN

6. STEMI OR FALSE STEMI?

7. TO THROMBOLYSE OR NOT?

11. CRITICAL ECG???

22. THANK YOU