Cardiology Archives • Page 27 of 39 • LITFL

Seizures, Somnolence and a Scary ECG

An 18-year old male is brought to ED by ambulance following a generalised seizure at home. Has he taken TCA, can you save his life?

Can you correctly interpret the ECG findings in a marathon runner with gastroenteritis? What is their significance? Is this AIVR?

15-year old boy presents to ED with sudden onset of palpitations while playing sport. Manage this Broad Complex Tachycardia

This ECG Exigency serves up 5 different risky rhythm strips. Each tells a story. Can you work out what is happening before its too late?

A 62-year man who is awaiting a bed under the medics for investigation of an episode of chest pain earlier in the day. Is this Wellens?

A 23 year-old man had an episode of syncope at home. He is in severe respiratory distress, extremely pale, dripping with sweat. ECG Exigency

A 35 year-old female is brought to the emergency department after collapsing in a shopping centre. McConnell sign

Patient presentes to ED with acute shortnewss of breath post Percutaneous Vertebroplasty (PVP) with cement embolus cardiovascualr curveball

Despite the therapeutic measures a 26 day-old boy with Tetralogy of Fallot has severe hypercyanotic spells and needs Blalock-Tausig shunt

A previously well 50 year old presents with sharp severe chest pain after a long haul flight from North America. DeBakey Dissection

49 year female old smoker with two weeks of increasing shortness of breath. She is treated for pneumonia on the ward but getting worse.

IABP one of your patients had poor cardiac output after a CABGx4 and required the insertion of an intra-aortic balloon pump, what do you do?