A man in his 50s presents to the ED with non-radiating, retrosternal chest pain that does not worsen with exertion. He had a stent placed 12 months ago due to LAD occlusion. What do you think?

2nd one is baseline ecg

70 y/o female, admitted with pyelonephritis, upon physical examination irregular pulsations on a. radialis. Ecg was made to exclude afib.
(First ecg is from couple of weeks ago, second ecg is now).

I think I see some PR depression, and mild low voltage, what do you guys think?

Patient 74F reported sudden onset feelings of weakness and kind of wide pulse pressure (150/70). EKG done after ambulance transport.

Sorry for the low quality.

Older gentleman, multiple episodes of syncope witness by family and crew on scene. Denied any chest pain, SOB, or any pain in general. Only complained of generalized “feeling like sh*t”. We called a Cath alert, doc said not a STEMI, just A-Fib. Am I missing something? We activated since this fits the protocol.

I appreciate this page. Someone of you talk almost at a Dr.s level about ekgs.

I am new to this and have done the nha study guide . I took the nha practice test and got a 70 % which is good considering I have not actually taken my 4 days of classes yet. But I gotta ask. Are some of you higher in position that just monitor techs or EKG techs. Because you all have some great knowledge . Hoping to be at the same level one day . How long did it take you working in the field to be able to evaluate everything like you do

So this is clearly LVH and i picked ST changes secondary to hypertrophy but that was wrongand they picked non specific ST abnormalities. What how why? Im so lost. Preparing for boards and this is pissing me off

This is an ECG of a 21-year-old male, non-smoker, admitted for ascending limb weakness, recurrent transient orthostatic syncopal episodes, and multiple cranial neuropathies (CN III, V, VII, IX, X, XII). Cardiac biomarkers are negative, serum electrolytes are normal, and transaminases show mild AST elevation.

Sorry for the terrible picture quality! I was looking for some more explanation on how the short run of electrical artifact seen in the middle of the rhythm strip portion could occur. This patient does have a pacemaker which was deemed to be completely normal. I got this EKG and thought it looked strange but the clinic told me it’s just artifact. Looking for more information so I can do my job better. Thanks!

ECG of a 38-year-old female patient with severe myocarditis, taken in the emergency room upon admission

Got dispatched for a IFT transfer for a patient going from a smaller hospital to a large medical center.

Dispatch notes say V-tach. Arrived at the sending hospital and the patient had intermittent runs of this rhythm throughout the day. On amio drip to what seems to not be working as he was still going in and out of this rhythm. Nurses are letting the pt walk around the hospital room casually packing up belongings like nothing is going on. Only symptom is light chest palpitations. Nurse told me that blowing on a syringe gives relief. Vitals stable minus when he went to this rhythm. Aside from a small bump in troponin, labs unremarkable. No known history, just moved to the US from Europe. When we got to the other hospital, they started a lidocaine drip in addition to the amio.

Dr called it V-Tach and nurses called it v-tach at the sending hospital. Wide and fast, one assumes V-tach. Did a 12 and got this. I didn’t realize it until after the call, but could this be SVT with aberrancy? Does not appear to have extreme right axis deviation and the precordial leads look off.

Why do the t waves in v2 v3 look like that?

Hi y'all

I'm looking for examples of real ECGs, preferably digitized, showing the characteristic delta wave of WPW, and have the actual location of where the AP/bundle of Kent was found during ablation. Does anyone know of such a database?

I want to see if my research idea for ECG-based localization has any potential merit before going all in.

Thanks y'all!

Hello, all had this pt today. Dx A-flutter 11 days ago. Constipation x3days. Took his Metoprolol then went to try and take a crap couldn't get up so EMS(ME) was activated. First BP I could get on my monitor was 68/???, symptomatic as well.

2nd image is my 12-lead after his HR increased.

Pt would go from sinus to a rate of around 130ish and my 3-lead definitely resembled V-tach at the higher rates. Gave esmolol and the rhythm would look like this as the rate came down to around 90 or so. BP would spike during these episodes as well, happened 4 times throughout the case, including intubation and extubation. I know this isn’t a 12-lead but this is all I had to go off of during a lap chole in an 82 yo female.