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
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Arrhythmias Cases
A 45 year old female presents at the first heart aid with chest complaints...
Case provided by Kees-Jan Royaards, MD
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Wide complex tachycardia: ventricular or supraventricular? ...
Case provided by Kees-Jan Royaards, MD
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Myocardial infarction or not? ...
Case provided by Kees-Jan Royaards, MD
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Conduction trouble ...
Case provided by Kees-Jan Royaards, MD
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Sinus rhythm or not? ...
Case provided by JSSG de Jong, MD
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A patient presented with a broad complex tachycardia...
Case provided by
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Electrolyte Disorders
Miscellaneous
Click on the text below the ECG for the answers. Click on the ECG for enlargement of the ECG itself...
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...
Case provided by A.A.M. Wilde
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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...
Case provided by A.A.M. Wilde
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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...
Case provided by A.A.M. Wilde
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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...
Case provided by N.J.W. Verouden, R.J. de Winter, A.A.M. Wilde
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A 44-year-old male presented with palpitations. His medical history was otherwise uneventful and the family history revealed pacemaker...
Case provided by A.A.M. Wilde, J. Hrudova, J.G.M. Tans
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A 73-year-old man presents with palpitations (irregular heartbeat). There is no medical history. Physical examination reveals no abnormalities...
Case provided by A.A.M. Wilde
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A 55-year-old male without cardiac history is complaining of an irregular heartbeat. Physical examination and an echo reveal no abnormalities...
Case provided by A.A.M. Wilde
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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...
Case provided by A.A.M. Wilde
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2007
A 38-year-old male patient presents with palpitations. He is not suffering from syncope or dizziness and has no other complaints...
Case provided by A.A.M. Wilde
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A 75-year-old lady presented with palpitations. Her medical history reveals cardiac surgery with a mitral valve repair combined...
Case provided by A.A.M. Wilde, H.H.D. Idzerda
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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...
Case provided by A.A.M. Wilde, N.A. Blom
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An 86-year-old man presents in your outpatient clinic with stable angina pectoris (NYHA 2/4). There is no further medical history...
Case provided by A.A.M. Wilde
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A 14-year-old girl complained of palpitations that occurred numerous times a week. There were no special triggers and, usually...
Case provided by A.A.M. Wilde, M. Cuppen, J.L.R.M. Smeets
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A 43-year-old man came to the outpatient clinic for preventive cardiovascular (CV) screening. During the last five years he...
Case provided by N.M. Panhuyzen-Goedkoop, L.R.C. Dekker, A.A.M. Wilde
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A 47-year-old lady presents with an ‘abnormal ECG’. In her family three daughters suffer from a long-QT syndrome type 2...
Case provided by A.A.M. Wilde
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Advanced Cases
For more advanced cases see:
