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 [...]

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?

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

Dr. Smith’s ECG Blog

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Reviewed and revised 12 May 2012 Among Scott Weingart’s ED Critical Care Dirty Dozen for 2010 was Dr Smith’s ECG blog. The LITFL team thought it was about time we gave this great blog a shout out too. Dr. Stephen Smith (@smithECGBlog) is a faculty emergency physician at Hennepin County Medical Center and an Associate [...]

VT versus SVT with aberrancy

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The most important distinction is whether the rhythm is ventricular (VT) or supraventricular (SVT with aberrancy), as this will significantly influence how you manage the patient.

Who’s Afraid Of The Big Bad Wolff?

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A 61 year old male walks up to the triage desk complaining of a funny feeling in his chest. He has had similar milder episodes in the past and has been investigated by his GP with no firm diagnosis being reached. He’s moved to Resus as he’s a bit pale and sweaty.

Seizures, Somnolence and a Scary ECG

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An 18-year old male is brought to ED by ambulance following a generalised seizure at home. Can you interpret his ECG and save his life?

Marathon-related ECG Exasperation

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Can you correctly interpret the ECG findings in a marathon runner with gastroenteritis? What is their significance? What management is required?