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On July 1, 2010 - I retired after a 30 year career in academic medicine (as full-time faculty in Family Medicine at the University of Florida). My goals are to take teaching of ECG and Arrhythmia Interpretation to a new level. Since my retirement - I have started a Free Educational ECG Blog (www.ecg-interpretation.blogspot.com/ ). I have written multiple new books - including my brand new 5th edit
ion of ACLS-2013-PB that has just come out (ePub of this book in progress). My most popular book is ECG-2011-PB (with accompanying ePub out for nook-kindle-ibooks) - See PRODUCTS for links with more info). I lecture/give workshops - I've developed ECG COMPETENCY (to assess interpretation ability) - and lots more (WRITE ME = www.kg-ekgpress.com/contact - and/or visit my web site for details = www.kg-ekgpress.com).
02/08/2025
This ECG is from a young adult who presented to the ED for syncope. No chest pain. Hemodynamically stable.
* How would you interpret this tracing?
* Is syncope responsible for this ECG ? — To activate the cath lab?
This ECG is from a previously healthy young woman with palpitations. She is hemodynamically stable.
* How would you interpret this tracing?
* How certain are you of your diagnosis? How would you treat this patient?
This ECG is from a patient with new CP (Chest Pain).
* How would you interpret this tracing?
* Challenge: At least 5 ECG findings on this tracing all point to the same diagnosis. How many can you name?
I saw this ECG knowing only that it was from a woman with CP (Chest Pain). Many of my colleagues interpreted this tracing as “normal”.
* Do you agree? Explain your answer.
This ECG is from a middle-aged man with intermittent CP (Chest Pain). Hemodynamically stable.
* How would YOU interpret this tracing? What is the rhythm?
* Should the cath lab be activated?
This ECG is from a middle-aged man with intermittent CP (Chest Pain) since the previous day. Initial hs-Troponin was negative.
* How would YOU interpret this tracing?
* Should the cath lab be activated?
This ECG is from a man in his 80s who presented for “routine follow-up”. No symptoms! Not on any rate-slowing medication.
* An ECG was obtained because he was found to have an irregular pulse.
* This is a challenging arrhythmia. Your interpretation? Treatment?
This ECG is from a 60-year old woman who presented to the ED with new CP (Chest Pain).
* How would you interpret this ECG?
* Should the cath lab be activated? If not — Why not?
This ECG is from a man in his 60s who contacted EMS with new CP (Chest Pain).
* How would you interpret this ECG?
* Should the cath lab be activated? If not — Why not?
This ECG is from a middle-aged man with a history of epigastric pain and “faints” over the previous 4 days. He has not has chest pain.
* How would you interpret this ECG?
* Should he cath lab be activated?
This ECG is from a man in his 60s with a history of cardiac amyloidosis. He reports recent “dizziness” — but no chest pain.
* How would you interpret this ECG? — Is the history of amyloid relevant?
* Has there been an MI? — What is the rhythm?
Technical “Misadventures” ( = Lead Reversals / Artifact) all-too-often go unrecognized. Today’s post provides LINKS to over 50 examples.
* What type of “Misadventure” is shown in Sample CASE #1?
* HINT: This is not a high-lateral infarction …
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