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 – June 2021
This ECG was recorded from a 21-year old female who had complained of palpitations. On examination she had an ejection systolic murmur. What is the most likely explanation for the abnormal ECG appearances? Answer: Well, it looks like my clue was useful to a few...
Dr Dave Richley ECG of the Month – May 2021
I don’t have any clinical history to go with this ECG, but how best should we describe the rhythm? I have numbered the beats to facilitate discussion. Analysis & continuing discussion below I agree with Scott’s analysis that this is second-degree AV block in...
Dr Dave Richley ECG of the Month – April 2021
ECG 1 (Above) was recorded from an aysmptomatic 79-year old female with hypertension, for which she was taking an ACE inhibitor and a diuretic. ECG 2 (below - apologies for the size, please zoom if you can) was recorded two months later as part of a routine assessment...
Dr Dave Richley ECG of the Month – March 2021
This ECG was recorded from a 40-year old male who was resuscitated from a cardiac arrest while playing football. There was no medical history of note except that he had recently noticed that he was getting more breathless on exertion. What abnormalities are present...
Dr Dave Richley ECG of the Month – February 2021
QUESTION I was sent this ECG from someone who was puzzled about the rhythm and wanted my opinion. I wasn’t given any history but I think I managed to work out what was going on. I’d be interested to hear other people’s explanations though, so what do you think? ...
Dr Dave Richley’s ECG of the Month – December 2020
The rhythm here is irregular, but why? What exactly is going on? I’ve numbered the QRS complexes to facilitate discussion. Dr Dave Richley, Associate Lecturer Newcastle University