ECG.CASES
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Daily ECG

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#case193 ❤️
73 y female presented with palpitation
The correct answer is “Atrial tachycardia”
There is a regular, broad complex tachycardia at ~187 bpm; All QRS complexes are preceded by P waves with abnormal axis (Negative P in D1). These findings suggest atrial tachycardia. Note that one P wave is dropped in chest leads and made the rhythm irregular.

Other ECG findings:
Left anterior hemiblock
Ventricular conduction delay
#case194 ❤️
65 y female, Known case of Type 2 DM and chronic kidney disease presented with nausea and chest pain
The correct answer is “Hyperkalemia”
This ECG displays many of the features of hyperkalaemia:

• Disappearance of p waves
• ST elevations (best seen in aVR and chest leads)
• Broad, bizarre QRS complexes that merge with subsequent ST segment and T wave.
• Sine waves (best seen in V3)
#case195 ❤️
65 y woman with history of pancreatic cancer presented with chest pain and dyspnea.