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 Dave Richley ECG of the Month – December 2021
I’m afraid I don’t have any clinical information to accompany this ECG, but all I’d like is a description of the rhythm, with as much information and explanation as you can provide. ANSWER OK, first things first. The P waves are of low amplitude in most leads and...
Dr Dave Richley ECG of the Month – November 2021
This ECG was recorded from a 28-year old male with known type 1 diabetes. He was admitted to hospital with nausea, breathlessness, extreme tiredness and dull chest pain. What are the abnormal features on the ECG? What diagnosis do they suggest? Dave Richley Associate...
Dr Dave Richley ECG of the Month – October 2021
This month’s ECG was recorded from a 28-year old male while he was suffering from palpitations. He had no history of heart disease. After the administration of intravenous verapamil his heart rate suddenly normalised and a repeat ECG (not shown) revealed sinus rhythm...
Dr Dave Richley ECG of the Month – September 2021
I don’t have any clinical information in relation to this month’s ECG, but what I’m interested in is the rhythm and conduction. I don’t think it’s quite as straightforward as it first appears and I’m not absolutely sure of everything that’s going on. I’ve numbered the...
Dr Dave Richley ECG of the Month – August 2021
This ECG was recorded at 25mm/s from a 72 year old male who was complaining of a prolonged period of chest pain at rest. He has a history of diabetes and hypertension. How should the ECG be interpreted? Dr Dave Richley, Associate Lecturer Newcastle University...
Dr Dave Richley ECG of the Month – July 2021
I don't have any clinical information to accompany this months ECG but all I'm interested in is the rhythm. What exactly is happening here? I have numbered the beats to facilitate discussion Dr Dave Richley, Associate Lecturer Newcastle University Thanks to Scott...