About the “ECG of the month”
Every month we’ll post an ECG trace that we invite you to “diagnose”. Click on the ECG trace image and then you submit your explanation by making a comment on the post. Your comment won’t appear until it has been approved so don’t worry if you don’t see it immediately.
Alternatively, you can email your thoughts and analysis to comms@scst.org.uk

Dr Richleys ECG of the Month – June 2022
Something a bit different this month. An emergency ambulance was despatched to the home of a 50-year-old morbidly obese male who was complaining of severe, crushing chest pain that had started 30 minutes earlier while he has eating. There were no other symptoms. BP...
Dr Dave Richleys ECG of the Month – May 2022
This month’s ECG was recorded from a 42-year old male who was complaining of gradually increasing exertional dyspnoea over several months. He was also experiencing breathlessness when lying flat. He had not had any chest pain. Physical examination revealed swollen...
Dr Dave Richleys ECG of the Month – April 2022
Something a bit different this month: two 3-lead extracts (A and B) from an ambulatory ECG recording. I have numbered the beats in each strip to facilitate discussion. I’m afraid I don’t have any clinical details but my question is a simple one: what on earth is going...
Dr Dave Richleys ECG of the Month – March 2022
This month’s ECG was recorded from a 33-year old female who had been complaining of palpitations. Physical examination revealed no abnormalities and there was no history of heart or pulmonary disease. Is the ECG normal? If not, what are the abnormalities and what...
Dr Dave Richley ECG of the Month – February 2022
This ECG was recorded from a 32-year old male while he was experiencing ‘palpitations’. He had no history or signs of heart disease and when he was back in sinus rhythm he had an echocardiogram which was entirely normal. What is the rhythm most likely to be? Answer...
Dr Dave Richley ECG of the Month – January 2022
Happy New Year from everyone at SCST! Let's kick off 2022 with Dr Dave Richley's ECG of the Month This ECG was recorded from a 38-yearold female who was complaining of a fast heart rate. There was no chest pain or breathlessness and no history of heart disease. There...