Cardiology

An obese patient with a history of emphysema has been admitted to Intensive Care with a HR of 23 and a BP of 80/40. He is drowsy but able to talk. He has been feeling very tired and washed out for two (2) days and had a fall after feeling dizzy. He has no injuries.

ECG station. Five ECGs were shown and candidates were required to either report the findings or answer related questions. ECGs included:

a) prolonged QT interval

b) Broad complex tachycardia

c) Acute inferior and posterior infarction

d) J- waves

Atrial fibrillation

ECGs. Examples included electrical alternans, complete heart block, ventricular pacing, QT
prolongation, and axis deviations

Twenty out of twenty-two candidates passed this section.

ECGs. Examples included AF with rate dependant bundle branch block, R wave in V1, heart block (Wenckebach), widened QRS, atrial flutter, and right axis deviation. Eighteen out of twenty-three candidates passed this section

 ECGs. Examples included Wolff-Parkinson-White Syndrome, supra-ventricular tachycardia, paced rhythm, hyperkalaemia and posterior infarction.  The rhythm or a list of abnormal findings was requested, as were relevant causes and associated management.

ECGs  demonstrating  ventricular  tachycardia,  acute  myocardial  infarction,  bi- fascicular block and complete heart block.

ECGs demonstrating a malfunctioning pacemaker, hyperkalaemia, acute myocardial infarction, P pulmonale and bi-fascicular block.

ECGs demonstrating hyperkalaemia, Ventricular Tachycardia, infero-posterior myocardial infarction, P pulmonale and right ventricular hypertrophy.

ECGs
Acute myocardial infarction, bBroad complex irregular tachycardia (300) - ? WPW, diffuse T wave inversion in a hypertensive unconscious female - ? SAH, inferior ischaemia with runs of VT.

ICU Case
The ABG, ECG, CXR, haemodynamic profile and IABP tracing of a patient with cardiogenic shock.

ECGs including torsades de pointes, pulmonary embolism, VT and VF.

ECGs: Included hyperkalaemia, prolonged QT Syndrome and Heart Block.