25 Nov 2025, 15:04 UTC705 views5 reactionsread 11 September 2026 🔺1⃣0⃣9⃣ #150_ECG
ANSWER :
✅ The ECG shows:
• Variable QRS rate (16-60/min)
• No P waves
• No irregular baseline to suggest atrial fibrillation
• As far as can be ascertained from the rhythm strip, normal QRS complexes and T waves
✅ تفسیر بالینی:
This is the 'sick sinus syndrome' or 'sinoatrial disease'. The record shows a 'silent atrium' with a variable junctional escape rhythm. The palpitations described by the …
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Signed ME
24 Nov 2025, 15:02 UTC489 views3 reactionsread 11 September 2026 Photo
🔻1⃣0⃣9⃣#150_ECG
This is a continuous rhythm strip (lead II) from a 25-year-old man who complained of episodes of fast, regular, palpitations associated with breathlessness and dizziness. There were no abnormalities on examination other than a slow and irregular pulse, and apart from the rhythm shown here, the ECG was normal.
What is the diagnosis and how can his problem be treated?
@Learning_Medicine_with_ME
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Signed ME
23 Nov 2025, 15:01 UTC431 views3 reactionsread 11 September 2026 🔺1⃣0⃣8⃣ #150_ECG
ANSWER :
✅ The ECG shows:
• • Broad complex tachycardia at about 180/min
• No P waves visible
• Left axis
• QRS duration about 140 ms
• The fourth and fifth QRS complexes are narrow
• QRS complexes are probably concordant (in the
chest leads all point upwards) though it is difficult to be certain
✅ تفسیر بالینی:
Broad complex tachycardias may be ventricular, supraventricular with bundle branch b…
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Signed ME
22 Nov 2025, 15:02 UTC279 views1 reactionsread 11 September 2026 Photo
🔻1⃣0⃣8⃣#150_ECG
A 70-year-old woman, admitted to hospital because of increasing heart failure of uncertain cause, collapsed
and was found to have a very rapid pulse and a low blood pressure. This is her ECG. She recovered spontaneously.
What is this rhythm, and what would you do?
@Learning_Medicine_with_ME
🤷1
Signed ME
20 Nov 2025, 15:03 UTC281 viewsread 11 September 2026 🔺1⃣0⃣7⃣ #150_ECG
ANSWER :
✅ The ECG shows:
• Atrial fibrillation
• Irregular QRS complexes with a ventricular rate of up to 200/min
• Normal axis
• Height of R waves in lead V6 plus depth of S waves in lead V2 is greater than 35 mm, suggesting left ventricular hypertrophy
• Otherwise normal QRS complexes, apart from an RSR pattern in lead VF
• ST segments depressed in leads V4-V6, suggesting ischaemia
• Normal T w…
Signed ME
19 Nov 2025, 15:03 UTC235 viewsread 11 September 2026 Photo
🔻1⃣0⃣7⃣#150_ECG
A 50-year-old woman came to the A & E department because of the sudden onset of palpitations and severe breathlessness.
What abnormality does this ECG show, and what conditions might be responsible?
@Learning_Medicine_with_ME
Signed ME
18 Nov 2025, 15:03 UTC270 viewsread 11 September 2026 🔺1⃣0⃣6⃣ #150_ECG
ANSWER :
✅ The ECG shows:
• • Sinus rhythm
• Normal axis
• Normal QRS complexes
• Raised ST segments in leads I, VL, V2-V6
✅ تفسیر بالینی:
The ECG has the classic appearance of an acute anterolateral myocardial infarction.
✅ چه باید کرد؟
Since this patient's chest pain began more than 24 h ago, thrombolysis is not indicated. The breathlessness suggests that he may have developed left ventricul…
Signed ME
17 Nov 2025, 15:00 UTC191 viewsread 11 September 2026 Photo
🔻1⃣0⃣6⃣#150_ECG
A 48-year-old man is seen in the A & E department with a history of severe chest pain which began 24 h previously, but has now cleared. He is now breathless.
What does this ECG show and what treatment is needed?
@Learning_Medicine_with_ME
Signed ME
16 Nov 2025, 15:00 UTC219 views1 reactionsread 11 September 2026 🔺1⃣0⃣5⃣ #150_ECG
ANSWER :
✅ The ECG shows:
• Sinus rhythm, rate 34/min
• Normal axis
• Bifid P waves, best seen in the lateral leads
• Small narrow Q waves in the lateral leads
• Normal QRS complexes
• Peaked T waves
✅ تفسیر بالینی:
Sinus bradycardia can be due to physical fitness, vagal overactivity or myxoedema. In a hypertensive patient, beta-blocker treatment is the likely explanation. The bifid P waves may …
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Signed ME
15 Nov 2025, 15:03 UTC220 views1 reactionsread 11 September 2026 Photo
🔻1⃣0⃣5⃣#150_ECG
This ECG was recorded from a 50-year-old man who had hypertension but was otherwise well.
Despite showing four possible 'abnormalities', is the trace actually normal?
@Learning_Medicine_with_ME
👍1
Signed ME
13 Nov 2025, 15:02 UTC256 views3 reactionsread 11 September 2026 🔺1⃣0⃣4⃣ #150_ECG
ANSWER :
✅ The ECG shows:
• Broad complex rhythm at 90/min
• No P waves
• Marked left axis
• QRS duration 160 ms
• All chest leads show a downward QRS complex (concordance)
✅ تفسیر بالینی:
If the heart rate were fast there would be little difficulty in recognizing this as ventricular tachycardia, and this rhythm used to be called 'slow VT. It is, however, an accelerated idioventricular rhythm.
…
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Signed ME
12 Nov 2025, 15:04 UTC272 views3 reactionsread 11 September 2026 Photo
🔻1⃣0⃣4⃣#150_ECG
This ECG was recorded from a 45-year-old man, who had been admitted to a coronary care unit with a myocardial infarction and who was recovering well.
What is the rhythm, and what would you do?
@Learning_Medicine_with_ME
❤3
Signed ME
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