By David Adlam, John R. Hampton DM MA DPhil FRCP FFPM FESC, Jo Hampton
Wow, do not move pass eyed but when it's a trend popularity ECG ebook you wish, this can be it, you'll have to learn the spouse ECG made effortless first - or purchase them jointly.
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Extra resources for 150 ECG Problems
Oo Summary ** Sinus tachycardia with widespread ST/T changes suggesting pulmonary embolism. What to do This is a case where the ECG must be considered in the light of the patient's history and physical signs (if any). Clearly something has happened; 1 1 s See p. 92 See p. 289 |££££i This ECG was recorded from a 50-year-old man who was admitted to hospital as an emergency, having had chest pain characteristic of a myocardial infarction for 3 h. What does the ECG show and how should the patient be treated?
Summary Normal ECG with sinus arrhythmia. Z C/) This ECG was recorded from a 48-year-old man who had had severe central chest pain for 1 h. What does it show and what would you do? ANSWER 22 The ECG shows: • • • • • Sinus rhythm Normal axis Normal QRS complexes Biphasic T waves in leads V2, V3, V5 Inverted T waves in lead V4 Clinical interpretation This is a classic acute anterior non-Q wave infarction. What to do This ECG does not meet the conventional criteria for thrombolysis, which are raised ST segments or new left bundle branch block.
103 See p. 266 * m Tnis ECG was recorded from a 70-year-old man who had had angina for some time and was treated with a beta-blocker. He came to the A & E department complaining of pain similar to his angina, but much more severe and persistent for 4 h. What does the ECG show and what treatment would be appropriate? 8 K> CJ ANSWER 23 The ECG shows (note: leads at half sensitivity): • • • • • • Sinus rhythm Supraventricular (junctional) extrasystoles Normal axis Broad QRS complexes (140 ms) 'M' pattern of QRS complex in leads V4-V6 Inverted T waves in leads I, VL, V4-V6 had been noted previously.