
ECG Case 135
A single agent overdose causing AV blockade, QRS widening, and QT prolongation.... but reports of death only if QRS > 200ms. Which medication is this?

A single agent overdose causing AV blockade, QRS widening, and QT prolongation.... but reports of death only if QRS > 200ms. Which medication is this?

A 40 yo man is admitted with lobar pneumonia. He develops new atrial fibrillation with rapid ventricular response; becomes hypotensive and increasingly dyspnoeic.

Crushing chest pain and diaphoresis. New inferior Q waves and T-wave inversion, yet this is a normal ECG. Can you explain why?

A 6 year old boy presents with lower abdominal pain and vomiting. He has had intermittent pain for a week thought to be due to mesenteric adenitis.

Chest pain, shock and ST elevation in aVR. The LAST place this patient needs to be is in the cath lab

A negative troponin, resolved chest pain, and a "normal" ECG does not exclude ACS requiring emergent intervention

An 88-year-old man with palpitations and a HR fixed at 150. This is not flutter or AVNRT -- can you explain why?

Yet another ED patient with SVT -- but there is one feature on this ECG that suggests a congenital structural abnormality, can you spot it?

A man in his 40s with exertional chest pain and a small troponin rise. Is this just LVH? Bedside echo gives us the answer

There are five features on this "normal" ECG that suggest impending inferior STEMI - can you spot them?

Can ST depression and T wave inversion in aVL be normal? Can BER cause reciprocal changes? Learn about using the QRS-T wave angle to answer these questions

A man in his 40s is brought in GCS 3. Can you interpret these ECG and echo abnormalities to appropriately guide management?