🔴 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)

🔴 A patient with DM type 1 who presents with abdominal pain, vomiting, lethargy, increased thirst and urination, and fruity smelling breaths. This ECG:

🔴 What is the ECG Abnormality?

📍Hyperkalemia

🔴 What is The Cause?

📍Due to DKA (diabetic ketoacidosis)

"دوام الذكر في الطريق، والبيت، والحضر، والسفر، والبقاع تكثير الشهود للعبد يوم القيامة؛ فإن البقعة، والدار، والجبل، والأرض تشهد للذاكر يوم القيامة".

ابن القيم (رحمه الله) | الوابل الصيب ١٩٧

﴿مَنْ كَانَ يَرْجُو لِقَاءَ اللَّهِ فَإِنَّ أَجَلَ اللَّهِ لآتٍ وَهُوَ السَّمِيعُ الْعَلِيمُ﴾ [العنكبوت: ٥]

"يا أيها المحب لربه، المشتاق لقربه ولقائه، المسارع في مرضاته، أبشر بقرب لقاء الحبيب، فإنه آتٍ".

السعدي (رحمه الله ) | تيسير الكريم الرحمن ٦٢٦