Wide, Complex and Troublesome

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aka Cardiovascular Curveball 013 A junior colleague asks if he can discuss a case with you. His patient is a 23 year-old man who presents with 2 hours of rapid regular palpitations associated with ‘not feeling quite right’. These symptoms came on while he was running on a treadmill at his local gym. He has [...]

ECG ST Segment evaluation

The ST segment is the flat, isoelectric section of the ECG between the end of the S wave (the J point) and the beginning of the T wave. What are the causes of ST elevation or depression?

Ecgstasy!

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It’s time for the LITFL team to highlight how awesome our ECG Library is… including some new additions and a page featuring Nick Tullo great ECG Academy videos.

Shock, syncope, sweating… and severe chest pain!

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A 67-year old male is brought to hospital by ambulance with severe chest pain, sweating, vomiting and syncope. There is something deeply worrying on his ECG… Can you make the diagnosis that will save his life?

The power of social media leads to reversal

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A reader (Christopher Watford) recently contacted the LITFL team with a query regarding a Visual Aid Question (VAQ) from the first sitting of the 2007 examination. So the team set about investigating the validity of the query using the power of social media…

Right Ventricular Infarction

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Here’s another volume from LITFL’s ever growing ECG Library — all you need to know about the ECG diagnosis of right ventricular infarction.

Posterior Myocardial infarction

Posterior infarction accompanies 15-20% of STEMIs, usually occurring in the context of an inferior or lateral infarction

VT or not VT? That is the question…

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“VT or not VT? That is the question…” you muse. Then your patient Bill says “A shock, a shock, my kingdom for a shock”…

Calligraphitis

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The LITFL team call upon the wider academic cardiological community to fund research into the under-diagnosed conditions of ‘calligraphitis’ or literary heart syndrome and the positive electropenogram

ECG “Rule of Fours”

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ECG pimping – the ECG rule of fours…