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ECG Cases
@ecgcaseslearn
New ECG Case Every Sundays
ECG Cases (English)
Are you a medical professional looking to enhance your skills in interpreting electrocardiograms (ECGs)? Look no further than the Telegram channel 'ECG Cases'! This channel, with the username @ecgcaseslearn, is dedicated to providing a new ECG case every Sunday to help you sharpen your ECG reading abilities. Each week, a challenging ECG case is presented for you to analyze and interpret, allowing you to test your knowledge and learn from real-life scenarios. Whether you are a student, resident, or seasoned healthcare provider, 'ECG Cases' offers a valuable opportunity to practice and improve your ECG interpretation skills. By joining this channel, you will have access to a supportive community of like-minded individuals who share a passion for cardiology and ECG interpretation. You can engage in discussions, ask questions, and receive feedback from fellow members, creating a collaborative learning environment that fosters growth and development. Don't miss out on this unique chance to expand your knowledge and expertise in reading ECGs. Join 'ECG Cases' today and start honing your skills with a new ECG case every Sunday. Whether you are looking to prepare for exams, enhance your clinical practice, or simply enjoy the challenge of solving complex cases, this channel has something to offer for everyone interested in cardiology and ECG interpretation.
ECG Cases
03 Jan, 16:33
The ECG shows sinus rhythm with normal axis and intervals. The two notable findings are 1) inferior Q-wave myocardial infarction (MI) of indeterminate age and 2) diffuse ST elevations in anterior and lateral leads, with PR deviations (up in aVR, down laterally) c/w with pericarditis. The story was of prior MI with pericarditis post-coronary artery bypass graft (CABG) surgery. If you know anyone who got this right (the first time), drop us a line so we can sign them up for a Cardiology Fellowship!
ECG Cases
27 Dec, 16:33
Sinus rhythm with left atrial abnormality. Most striking are tall right precordial R waves with pathologic inferior and lateral Q waves giving a "reverse" type R wave progression. There are also ST-T abnormalities in I, aVL, V6. Thus the patient has coronary artery disease (CAD), s/p large infero-(postero)-lateral myocardial infarction (MI) accounting for congestive heart failure (CHF) findings. Recall that differential diagnosis of tall right precordial R waves includes: 1) Normal/positional variants, 2) Right ventricular hypertrophy (RVH) (look for right axis deviation, P pulmonale), 3) Posterior/lateral MI (usually signs of inferior MI, too), 4) hypertrophic cardiomyopathy/idiopathic hypertrophic subaortic stenosis (HCM/IHSS), 5) right bundle branch block (RBBB), 6) Wolff-Parkinson-White (WPW ) variants with posterior/lateral pre-excitation 7) Duchenne muscular dystrophy (young men with myopathy).
ECG Cases
27 Dec, 16:31
64-year-old man with increasing pedal edema. What is the ECG diagnosis?
ECG Cases
20 Dec, 16:33
The ECG shows sinus tachycardia with an indeterminate (not "indeterminant") axis and prominent T wave inversions in V1-V4 with delayed precordial transition zone (R=S in V6). QT is at upper normal limits and there is an S wave in lead I with a minuscule R in III, aVF. P waves are peaked (well, almost) in II. Obviously it doesn't take an Oslerian wizard to think of anterior ischemia when you see poor wave progression and T wave inversions. But you should always think about acute right ventricular (RV) overload ("strain") due to pulmonary embolus, etc. That's what this patient with history of deep vein thrombosis (DVT) had. Contrary to common wisdom, there is no diagnostic ECG in pulmonary embolus, but there are suggestive ones. Unfortunately, most of the time the ECG is non-specific; although, with a large PE, sinus tachcardia is usual. Possible other findings include: T wave inversions in the right to mid chest leads; Poor R wave progression--due to acute RV dilation; the latter may also lead to S1Q3 pattern simulating inferior myocardial infarction (MI); P pulmonale; RV conduction delays; right axis shift.
ECG Cases
13 Dec, 16:33
Be careful here. This may look superficially like sinus but if you look in V1, you can see P waves just before the QRS (there is right bundle branch block (RBBB) and also P waves in the T wave (halfway in between) which are partly hidden. Atrial rate is about 150, ventricular rate 75. This is an atrial tachycardia with 2:1 block (paroxysmal atrial tachycardia or "PAT with block" if it occurs paroxysmally) which may be due to digoxin toxicity, atrial disease, etc. If you got this right, PAT yourself on back; if you choked on it, a more forceful interscapular blow may be indicated. (Note that "PAT" is often a misnomer since the tachycardia may be sustained. So the term "atrial tachycardia with block" is most accurate here.)
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