By David Adlam, John R. Hampton DM MA DPhil FRCP FFPM FESC, Jo Hampton
Wow, do not pass go eyed but when it's a trend reputation ECG e-book you wish, this is often it, you could have to learn the significant other ECG made effortless first - or purchase them jointly.
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Additional info for 150 ECG Problems
31 See p. 212 > ? ECG 7 This ECG was recorded in the A & E department from a 55-year-old man who had had chest pain at rest for 6 h. There were no abnormal physical findings. What does the trace show, and how would you manage him? ANSWER 13 The ECG shows: • Atrial flutter with 2:1 block (best seen in leads II, VR, VF) • Normal axis • Normal QRS complexes and T waves Clinical interpretation The sudden onset of atrial flutter presumably explains the heart failure. There is nothing on the ECG to suggest a cause for the arrhythmia.
See p. 68 Ij> [ See p. 160 ECG 28 This EGG was recorded from a 39-year-old woman who complained of a sudden onset of breathlessness. She had no previous history, and no chest pain. Examination reveals nothing other than a rapid heart rate. What is the diagnosis? ANSWER 28 The ECG shows: • • • • • • the sudden onset of breathlessness without pain suggests a pulmonary embolus, and here the VQ scan confirmed multiple small pulmonary infarcts. Sinus rhythm, rate 140/min Normal conduction Normal axis Normal QRS complexes Slightly depressed ST segments in leads V1-V4 Diphasic or inverted T waves in the inferior and all the chest leads Clinical interpretation The ECG shows a marked sinus tachycardia, with no change in the cardiac axis and normal QRS complexes.
Clearly something has happened; 1 1 s See p. 92 See p. 289 |££££i This ECG was recorded from a 50-year-old man who was admitted to hospital as an emergency, having had chest pain characteristic of a myocardial infarction for 3 h. What does the ECG show and how should the patient be treated? ' 11 s ANSWER 29 The ECG shows: • • • • • m •73 K) O Sinus rhythm PR intervals markedly prolonged (480 ms) Normal axis Normal QRS complexes T wave inversion in leads V1-V3 Clinical interpretation First degree block associated with a non-Q wave anterior myocardial infarction.
150 ECG Problems by David Adlam, John R. Hampton DM MA DPhil FRCP FFPM FESC, Jo Hampton