🔴 Comment on this ECG ?

📍There are Broad Bizarre QRS complexes with abscence of P waves & Irregular rhythym .

🔴 Write the most likely diagnosis ?

📍Ventricular Fibrillation .

🔴 Write briefly about the managment ?

📍Managed according to the Advanced cardiac life support (ACLS).... VF is a Shockable rhytym .

🔴 Comment on this ECG ?

📍There is Tachycardia associated with Regular rhythm , Narrow QRS complexes BUT absent P waves .

🔴 Write the most likely diagnosis ?

📍SupraVentricular Tachycardia SVT .

🔴 Write brifely about the managment ?

• Parasympathetic Vagal stimulation through :
Valsalva maneuver .
Carotid sinus massage .
•The 1st line drug of choice is Adenosine .

🔴 Comment on this ECG ?

📍There is Tall Prominent R wave in leads V5&V6 (More than 25mm) associated with deep S in lead V1&V2 and T inversion in leads l , aVL , V5 , V6 .

🔴 Write the most likely diagnosis ?

📍Left Ventricular Hypertrophy LVH .

🔴 Enumarates Two causes ?

* Systemic Hypertension.
* Aortic valve stenosis .

🔴 Comment on this ECG ?

📍Short PR interval producing which is called the Delta Wave .

🔴 Write the most likely diagnosis ?

📍Wolf Parkinson White syndrome WPW .

🔴 Write briefly about the key pathophysiology ?

📍There is Extra~accessory pathway in the heart that allows electrical signals to bypass the normal AV node .

🔴 Comment on this ECG ?

📍There are ST segment elevation on leads l , aVL , V2-V3-V4-V5-V6 .

🔴 Write the most likely diagnosis ?

📍AnteroLateral ST~Elevation Myocardial infarction (STEMI) .

🔴 Write Two complications ?

* Ventricular septal defect .
* Vebtricular aneurysm .

🔴 Comment on this ECG ?

📍There is Irregular rhythm associated with absence of P waves and replaced by Fibrillatory wave , Best seen on rhythm strip ( ll ) .

🔴 Write the most likely diagnosis ?

📍Atrial fibrillation AF .

🔴 Write Two non~Cardiac causes ?

* Hyperthyroidism .
* Alcohol & Caffeine consumption .

🔴 Comment on this ECG ?

📍There is Wide QRS complex associated with "M" shape pattern best seen on leads V5-V6 .


🔴 Write the most likely diagnosis ?

📍Left Bundle Branch Block LBBB .


🔴 Write ONE cause for this condition ?

📍Myocardial Ischemia (LBBB always pathological) .

🔴 Comment on this ECG ?

📍There is fixed Prolongation of the PR interval best seen on the rhythm strip ( lead ll ) .

🔴 Write the most likely diagnosis ?

📍1st degree Heart (AV) Block .

🔴 A 61 YO patient presents to the A&E complaining of dull central chest pain for around 4 hours. His vitals are as follows: HR: 75, BP: 135/85, RR: 21, O2 sat. on room air: 97% He was given IV morphine for his chest pain. The ECG is as follows:

🔴 What is the most likely Diagnosis?

📍 Left main coronary artery occlusion

🔴 What is the most appropriate next step in management?

📍 Emergency coronary angiography

🔴 Spot Diagnosis:

📍Torsades De Pointes (Ventricular Tachycardia)

🔴 Spot Diagnosis:

📍SVT

🔴 An elderly male presents with Palpitations and Shortness of breath on exertion. The ECG is as follows.

🔴 What is the likely diagnosis and management?

📍Atrial Fibrillation

🔴 What is the best management?

📍Beta-Blocker

🔴 A patient known to have hypertension presents with Chest discomfort and Nausea.

📍Hyperkalemia

🔴 Most Likely underlying Cause?

📍Due to ACEIs or ARBs

🔴 Firstly line Management?

📍 IV Calcium Gluconate

🔴 Spot Diagnosis?

📍Atrial Fibrillation

🔴 The following ECG is done for a 58 YO man who presents with palpitation. He is otherwise healthy.

🔴 Diagnosis?

📍Atrial Fibrillation

🔴 What is the most appropriate line in Rx?

📍 Beta-blockers (eg, metoprolol, atenolol)

🔴 A 59 YO hypertensive patient presents to the A&E complaining of dull central chest pain for around 4 hours. His vitals are as follows: HR: 99, BP: 155/95, RR: 21, O2 sat on room air: 97% Chest X-ray is normal. Troponin level was sent and still pending. He was given IV morphine for his chest pain.

🔴 Diagnosis?

📍 myocardial ischemia

🔴 What is the most appropriate next step in management?

📍 Oral Aspirin & SC LMWH

🔴 Spot Diagnostic?

📍2nd degree heart block (Mobtiz 2)