ECG Case 089
60yr old male who had an out-of-hospital cardiac arrest. Return of spontaneous circulation was attained prehospital. Describe and interpret this ECG. LITFL Top 100 ECG
Category Cardiology
ECG Case 087
36yr old male presented to the Emergency Department with a non-cardiac issue but an ECG was performed due to a pre-existing cardiac history. Describe and interpret this ECG. LITFL Top 100 ECG
Janeway lesions
Janeway lesions are non-tender, small erythematous or haemorrhagic macular or nodular lesions on the palms or soles only a few millimeters in diameter that are indicative of infective endocarditis.
Edward Janeway
Edward Gamaliel Janeway (1841 - 1911) was an American physician and pathologist. Remembered for his description of Janeway lesions (1899) as a distinctive painless dermatological manifestation seen in some cases of infective endocarditis
ECG Case 086
70 yr old male who presented with general lethargy and postural dizziness. He has a collapse the evening prior and recently had a diarrhoeal illness. His medications include warfarin, metoprolol, frusemide, allopurinol, colchicine and digoxin. Describe and interpret this ECG. LITFL Top 100 ECG
ECG Case 085
56 yr old male who present with 2 hours of chest pain. Past history of hypertension and smoking. The ECG's were performed 15 mins apart with ongoing chest pain. Describe and interpret this ECG. LITFL Top 100 ECG
ECG Case 084
89 yr old female presents with chest pain. She has a history of 2nd degree AV block with PPM in-situ. Describe and interpret this ECG. LITFL Top 100 ECG
ECG Case 082
10yr old boy who presented with mild wheeze and shortness of breath. Vitals signs: BP 105/60 RR 20 T 36.4 Sats 99%. Describe and interpret this ECG. LITFL Top 100 ECG
Roth spots
Roth spots: Retinal haemorrhages with white or pale centres, commonly associated with subacute bacterial endocarditis and immune complex mediated vasculitis.
ECG Case 081
A 74 yr old patient presents to the ER having suffered several episodes of chest pain over the preceding 24 hours. Describe and interpret his ECGs. LITFL Top 100 ECG
Dressler syndrome
Dressler syndrome: Fibrinous or fibrinohaemorrhagic secondary pericarditis that occurs as a result of injury to the heart or pericardium, either from myocardial infarction (MI) or cardiac surgery. Also known as post myocardial infarction syndrome
Pacemaker Panic #2
An ECG case of pacemaker failure. Can you guess the underlying cause of the Pacemaker Panic?