Post has attachment
21 years old boy, complains palpitations. He reports many episode of palpitations in past months. No syncope in his clinical history.
When I visit he alternate sinus rithm to supraventricular tachycardia. Arrythmia stopped with vagal manouvres. What kind of supraventricylar arrythmia is it? May be alternate condyctuon trought accessory pathway?

Thank you
PhotoPhotoPhoto
28/10/16
3 Photos - View album

Post has attachment
19yo male. Indigenous Australian. Fit and well normally. Presents with syncope. 20 seconds after standing from a lying position, no prodrome. Not witnessed, no features of seizure. Well after. Normal bloods and examination. Normal postural BP in ED. 4th episode in 3 years. Never investigated before. Thoughts on ECG? Thanks. 
Photo

Post has attachment

Post has attachment
When confronted with a tracing where it's uncertain if the rhythm shows sinus tachycardia, one of the most common suggestions I get is to double the paper speed to see if we can "unmask" buried P-waves.

That doesn't work.

Here's a case where I run through why running the paper at 50 mm/s doesn't help and might actually prove misleading (unless you work with ECG's at the speed every day).

http://www.ems12lead.com/2016/06/22/double-paper-speed/

Post has attachment
73 yrs old male. 2 hours of epigastric pain, diaphoresis. PMH: hypertension. No other med conditions. Sorry for the image bad quality but just captured the EKG from the screen while it's was transmitted from the field.
Photo
Photo
6/11/16
2 Photos - View album

Post has attachment
Photo

Post has attachment
This was one of my case last night. A middle age diabetic man came in with typical chest pain. This was his ECG. Anyone would like to comment?
Photo

Post has attachment
Hi. One of my junior's cases from overnight.

53 yo male. No background medical hx or previous ECGs.
Strong family hx of IHD/AMI.
Smoker.

7 hrs into pain, presented because it was getting worse. Positive low sensitivity TnI. Ischaemic sounding chest pain.

Opinions re meeting STEMI criteria please.

Also, we are very rural. Patients get thrombolysed. Transferred for PCI within 24 hours.

Further ECGs to follow.

Thanks,

Simon
Photo

Post has attachment

Post has attachment
Wait while more posts are being loaded