ECG interpretation for MD part 1

1.Diagnosis?What is the artery

affected ?
2.What is the abnormality?
3. Patient presented with worsening dyspnoea.
What are the abnormalities?
Likely diagnosis?
• RVH and MAT
• COPD
 4. What is the diagnosis?

Middle aged male found unconscious on the roadside. Given above is his ECG
5. What is the diagnosis?

40 year old male with chest pain

6.What is the diagnosis?
7.What is the diagnosis?
Accelerated idioventricular rhythm
• Regular rhythm.
• Rate 50-110 bpm.
• Three or more ventricular complexes.
• QRS complexes >120ms.
• Fusion and capture beats.
 Broad complex tachycardia
Regular
• SVT with BBB
• VT
• SVT with WPW
Irregular
• AF with WPW –appers same as AF with BBB
but HR very high
• AF with BBB
8. Patient coming with chest pain
9. Patient presented with cough. What
is the ECG abnormality?
10. Patient with CKD
• Bizzare
• Broad
• Brady

• Think of hyperkalemia …
Heart failure. ICU day 7
 Hypokalemia
Changes appear when K+ < 2.7 mmol/l
• Increased amplitude and width of the P wave
• Prolongation of the PR interval
• T wave flattening and inversion
• ST depression
• Prominent U waves (best seen in the precordial
leads)
• Apparent long QT interval due to fusion of the T
and U waves (= long QU interval)
12. Patient presented with altered
consciousness
Some tips…
 Always look for
• Always be methodical
• Do not reach conclusions on obvious abnormality
–you might miss the underlying AF in digoxin toxicity
-In acute MI don’t miss Qs in other regions of old MI
-Heart blocks and RV involvement in inferior MI

• Look actively for U waves, long QT, dextrocardia and

S1Q3T3
• Don’t miss bi and tri fascicular blocks , picking only the
obvious bundle branch block..
Good luck…..