ECG Cases (@ecg_cases) header
ECG Cases (@ecg_cases) profile picture

ECG Cases

@ecg_cases

ECG discussion page🫀 // everyone is welcome to take part im discussion 🗣️ or send their ECG-Cases 💬

Joined March 2022
  • Tweets269
  • Following104
  • Followers3.1K
39Media
Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)Photo by ECG Cases (@ecg_cases)
What is happening here? Routine examination of a ~60y/o male ...
Image from ECG Cases (@ecg_cases)
3
1
11
3,301
Something you don't see every day: HyperK+ in Pacemaker-ECG ⚡ @ecgrhythms @The_Nanashi_O @gerben_robbers @BrooksWalsh @EPeeps_Bot @DidlakeDW @smithECGBlog
Image from ECG Cases (@ecg_cases)
6
8
38
After 24h this poll is over. Unfortunately the majority of people was misled and chose the wrong answer. Based on this tracing, we cannot say, that there is complete AV-Block. We can only say, that there is AV-dissociation. Why? Let's take a look! ⬇️⬇️⬇️
ECG Cases (@ecg_cases) profile pictureECG Cases@ecg_cases1 Nov 2022
Which one of the answers describs this ECG best? Poll below ⬇️ @EPeeps_Bot #ECG
Image from ECG Cases (@ecg_cases)
6
1
3
1) We can see a borderline-narrow and regular QRS which gets followed by a P-Wave with normal configuration (putative coming from SA-node) 2) After using our calipers, we know, that there is severe sinus-bradycardia (~40bpm)
Which one of the answers describs this ECG best? Poll below ⬇️ @EPeeps_Bot #ECG
Image from ECG Cases (@ecg_cases)
2
4
1
10
Answer ...
14%SA-Block
40%Complete AV Block
16%Sick-Sinus
30%AV-Dissociation
77 votes • Final results
1
2
What is it and where does it come from? Your opinions? @ecgrhythms @The_Nanashi_O @gerben_robbers @BrooksWalsh @EPeeps_Bot @DidlakeDW #ECG
Image from ECG Cases (@ecg_cases)
8
14
27
What is the most likely diagnosis according to this ECG? ⬇️Poll below⬇️ Spoiler! There is also a hint below :)
Image from ECG Cases (@ecg_cases)
1
6
12
What is the most likely diagnosis according to this ECG?
39%Tako-Tsubo
20%Wellens/Reperfusion Patte
5%Right heart strain
37%Hypo-K
101 votes • Final results
1
2
2
Typical CP in a 66y/o man radiating to the left arm for some hours, still present when ECG gets recorded, Troponin I at 1407ng/l. Your expertise? HR 76bpm | PQ 186ms | QRS 136ms | QTc 468ms @ecgrhythms @The_Nanashi_O @gerben_robbers @BrooksWalsh @EPeeps_Bot @DidlakeDW
Image from ECG Cases (@ecg_cases)
3
7
14
Spot diagnosis? @EPeeps_Bot #ECG #Cardio #Cardiotwitter
Image from ECG Cases (@ecg_cases)
4
5
7
This tracing from am man with waning CP was interpreted as PE due to "S1Q3T3". But is it really PE or rather something else? #PMcardio @EPeeps_Bot #ECG Poll⬇️
Image from ECG Cases (@ecg_cases)
3
6
16
What is it?
70%OMI (reperfusion pattern)
12%PE
13%Wellen's
4%Tako-Tsubo
90 votes • Final results
1
1
2
Another example of STEMI-citeria failing to detect ACO #ECG #Cardiology @EPeeps_Bot
Image from ECG Cases (@ecg_cases)
1
1
Pt. in his 50s had an episode of chest pain that lasted for 2 hours. He came to the ED. At the time, this ECG (#PMCardio) was taken, pain was already waning by itself. What do you think has happened and what's this patient's problem? ➡️Follow-up in 48h! @EPeeps_Bot #EM #ECG
Image from ECG Cases (@ecg_cases)
4
3
16
(1/x) Some days ago I shared a case report with an ECG, typical for PE. 68% of YOU recognized the pattern correctly. For the remaining 32% I want to explain, WHY this ECG is (given the the history in the tweet) typical for acute PE:
Image from ECG Cases (@ecg_cases)
1
5
10
(2/x) ➡️ first of all, we should consider, that 20-25% of all patients with PE have a normal ECG, so we can't use the ECG to rule out PE [1] * nevertheless, there are some ECG findings, which (when beeing present) predict PE with high likelihood
5
1
A anxious woman in her 40s comes to the ED complaining of dyspnea for some hours. Do you recognize the pattern? Poll below⬇️! (Solution in 24 hours)
Image from ECG Cases (@ecg_cases)
5
10
1
21
What does this pattern suggest?
68%PE
7%Tako-Tsubo
19%Wellen's syndrome
6%N-STEMI
107 votes • Final results
1
1
2
Pt 40a with worsening epigastric pain for hours. Then he called EMS, this ECG was recorded. Poll⬇️ Follow-Up will be provided in 24 hours. @ecgrhythms @The_Nanashi_O @gerben_robbers @brun_dav @BrooksWalsh @EPeeps_Bot @DidlakeDW #ECG
Image from ECG Cases (@ecg_cases)
4
3
9
What do you think about the ECG in combination with these symptoms?
22%other, comment->NOMI, etc
6%erosive gastritis
56%OMI
17%Perikarditis
18 votes • Final results
1
1
Pt (55y/o man) with punctate CP for some hours. Poll below:
Image from ECG Cases (@ecg_cases)
2
5
1
4
How do you interpret the ECG?
36%OMI!
4%BER
49%Pericarditis/Myocarditis
11%Comment
47 votes • Final results
Do you recognize the subtle findings in this tracing from a 58y/o man with chest pain? @EPeeps_Bot #ECG
Image from ECG Cases (@ecg_cases)
4
6
17
Pt 55a with CP. V2 tells us the diagnosis, doesn't it? @ecgrhythms @The_Nanashi_O @gerben_robbers @brun_dav @BrooksWalsh @EPeeps_Bot @DidlakeDW @smithECGBlog @ekgpress #ECG
Image from ECG Cases (@ecg_cases)
5
2
13
Patient got resuscitated for ~3 minutes. After the 2nd shock this ECG was recorded. BP 95/55, SpO2 83%. I think the diagnosis is quite obvious, but I like this ECG since it contains many different features of MI. @EPeeps_Bot #ECG #EM
Image from ECG Cases (@ecg_cases)
4
1
19
I'd like to continue the case: We interpreted the ECG as non-specific and decided to bring the Pt to the ED. After 15 minutes of transport, an alarm shows up at the monitor - HF is now ~ 30-40/min (see ECG). The patient is sweating, even more dizzyness but still denying any pain.
Image from ECG Cases (@ecg_cases)
ECG Cases (@ecg_cases) profile pictureECG Cases@ecg_cases5 Jun 2022
Man in his 80s collapses at home several times. No pain, only some dizziness. RR 110/72, SpO2 91%, BG 112mg/dl. What would you do and where would you bring him? @ecgrhythms @The_Nanashi_O @gerben_robbers @brun_dav @BrooksWalsh @EPeeps_Bot @DidlakeDW @ahmad_70x #EM #Cardiology
Image from ECG Cases (@ecg_cases)
6
1
5
@EPeeps_Bot @DidlakeDW @The_Nanashi_O @gerben_robbers @BrooksWalsh @ChaseFrankel2 @aqib_hn
2
1
Man in his 80s collapses at home several times. No pain, only some dizziness. RR 110/72, SpO2 91%, BG 112mg/dl. What would you do and where would you bring him? @ecgrhythms @The_Nanashi_O @gerben_robbers @brun_dav @BrooksWalsh @EPeeps_Bot @DidlakeDW @ahmad_70x #EM #Cardiology
Image from ECG Cases (@ecg_cases)
7
2
1
8

No more items