Nhi march 2013
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Transcript of Nhi march 2013
ECG: The Acute SettingECG: The Acute Setting
Ahmed El-Damaty, MDLecturer oF CardiologyElectrophysiology and Pacing ServiceCairo University
Theme I:Theme I:
Bradyarrhythmias Bradyarrhythmias
74 yr-old lady with frequent 74 yr-old lady with frequent syncope. What is the most syncope. What is the most accurate diagnosis?accurate diagnosis?
52 year old female, asymptomatic
54 year old male during acute chest 54 year old male during acute chest painpain
60 year old male, H/O remote MI, 60 year old male, H/O remote MI, asymptomatic asymptomatic
44 years old male with acute chest pain44 years old male with acute chest pain
61 year old male presenting with inferior MI61 year old male presenting with inferior MI
Theme II:Theme II:
Narrow complex tachycardiaNarrow complex tachycardia
Differential Diagnosis of Differential Diagnosis of SVTSVT
• AVNRT (60%)• AVRT (30%)• AT (10%)• JT (1%)
AVNRTAVNRT
AVRTAVRT
ATAT
47 year old female presenting with tachycardia
18 year old male presenting with tachycardia
64 year old male presenting with progressive shortness of breath over the last 2 months
Telemetry recording for a 57 year old ischemic patient
Theme III: Theme III:
WidE complex tachycardiaWidE complex tachycardia
Wide Wide ComplexTachycardiasComplexTachycardias
Ventricular TachycardiaSVT with aberrancy SVT with pre-excitationPMTArtifacts
ECG DiagnosisECG Diagnosis
♥ Exclude artifacts and paced rhythm
♥ AV relationship♥ Morphology
60 year old male with ICM presenting with lightheadedness
55 year old male with history of IHD presenting with palpitations
76 year old male with ICM presenting with syncope
13-year old male with history of heart racingWhat is the most likely diagnosis?
13-year old male with history of heart racingWhat is the diagnosis?
19-year old male presenting with this tachycardia
38 year old male presenting with 38 year old male presenting with palpitationspalpitations
60 year old gentleman presenting with presyncope with this tracing recorded during monitoring in the ER
ECG recorded directly after exercise in a 16 yrs old patient with strong FH of SCD
Theme IV:Theme IV:
Miscellaneous ECG PatternsMiscellaneous ECG Patterns
60 year old male with ICD and CRF60 year old male with ICD and CRF
46-year old male with palpitations
56 year old female with H/O renal failure on 56 year old female with H/O renal failure on regular hemodialysisregular hemodialysis
28 yr-old male with repeated syncope, 28 yr-old male with repeated syncope, heart racing and a sister who died heart racing and a sister who died suddenly at age 30ysuddenly at age 30y
40 yr-old completely healthy 40 yr-old completely healthy male with atypical chest painmale with atypical chest pain
20 year old male presenting with 20 year old male presenting with syncopesyncope
23 year old female presenting with 23 year old female presenting with recurrent syncope on beta blocker recurrent syncope on beta blocker
34 year old male resuscitated from a drowning 34 year old male resuscitated from a drowning accident accident
69 year old male presenting with acute chest 69 year old male presenting with acute chest painpain
23 year old male presenting with acute chest 23 year old male presenting with acute chest painpain
Thank youThank you