Cases and Examples

Below you can find some common examples. ECGs can be magnified by clicking on the image....

Ischemia & Myocardial Infarction

An overview of the coronary arteries. LM = 'Left Main' = mainstem; LAD = 'Left Anterior Descending' artery; RCX = Ramus Circumflexus; RCA = 'Right Coronary Artery'.

Guess the culprit coronary artery that was occluded in these examples of myocardial infarctions

examples of myocardial infarctions
MI 1 MI 2 MI 3 MI 4 MI 5 MI 6 MI 7 MI 8 MI 10 MI 11 MI 12	MI 13 MI 14 MI 15 MI 16 MI 17 MI 18 MI 19 MI 20 MI 21 MI 22 MI 23

Arrhythmias Cases

A 45 year old female presents at the first heart aid with chest complaints... Go to case Case provided by Kees-Jan Royaards, MD	Wide complex tachycardia: ventricular or supraventricular? ... Go to case Case provided by Kees-Jan Royaards, MD	Myocardial infarction or not? ... Go to case Case provided by Kees-Jan Royaards, MD
Conduction trouble ... Go to case Case provided by Kees-Jan Royaards, MD	Sinus rhythm or not? ... Go to case Case provided by JSSG de Jong, MD	A patient presented with a broad complex tachycardia... Go to case Case provided by

Electrolyte Disorders

• Case 100
• Case 101

Miscellaneous

Click on the text below the ECG for the answers. Click on the ECG for enlargement of the ECG itself...

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  Example 23

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  Example 24

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  Example 25

Rhythm Puzzles

2009

A 95-year-old woman presents with palpitations. She has no relevant medical history and the present complaint is several days old... Go to case Case provided by A.A.M. Wilde

A 71-year-old female patient presents to your outpatients clinic with an irregular heart rhythm. The complaints started a few weeks ago and seem to worsen... Go to case Case provided by A.A.M. Wilde

An 83-old-female patient presents to your outpatient clinic with a history of syncope. It has occurred three times in the last few months and there were no specific triggers... Go to case Case provided by A.A.M. Wilde

2008

A 57-year-old man collapsed after one hour of angina symptoms in the presence of the alarmed ambulance personnel. He had never had any complaints... Go to case Case provided by N.J.W. Verouden, R.J. de Winter, A.A.M. Wilde	A 44-year-old male presented with palpitations. His medical history was otherwise uneventful and the family history revealed pacemaker... Go to case Case provided by A.A.M. Wilde, J. Hrudova, J.G.M. Tans	A 73-year-old man presents with palpitations (irregular heartbeat). There is no medical history. Physical examination reveals no abnormalities... Go to case Case provided by A.A.M. Wilde
A 55-year-old male without cardiac history is complaining of an irregular heartbeat. Physical examination and an echo reveal no abnormalities... Go to case Case provided by A.A.M. Wilde	A 36-year-old male comes to your outpatient clinic because of his family history. His father died suddenly at age 43 and his brother died suddenly at age 39... Go to case Case provided by A.A.M. Wilde

2007

A 38-year-old male patient presents with palpitations. He is not suffering from syncope or dizziness and has no other complaints... Go to case Case provided by A.A.M. Wilde

A 75-year-old lady presented with palpitations. Her medical history reveals cardiac surgery with a mitral valve repair combined... Go to case Case provided by A.A.M. Wilde, H.H.D. Idzerda

A boy with a birth weight of 3.030 g was born by caesarean section at 33 weeks of gestation because of bradycardia and severe... Go to case Case provided by A.A.M. Wilde, N.A. Blom

Advanced Cases

For more advanced cases see:

• Rhythm Puzzles by Prof. A.A.M. Wilde, MD, PhD
• Case reports by W.G. De Voogt, MD, PhD
• The De Voogt ECG Archive contains > 2000 categorized ECGs