ECG Interpretation 4

History of kidney transplantation, known with ischemic heart disease. Unstable angina pectoris for 3 days.

This patient has been examined by a practicing cardiologist for suspected tachycardia. He started taking metoprolol. Palpitation for two days.

Patient with diabetes and atrial fibrillation. He fell to the floor, was unconscious and had briefly mild twitches. He is now awake but is a little sweaty by the time the ambulance arrived. ABC stable.

Patient with heart failure and COPD. Slowly worsening breathlessness. Cold sweats. No definite chest pain.

Dizziness over the past few days. One syncope yesterday and one today.

Oppressive left lateral chest pain for 5 hours and impression sleeping left arm. BP 177/95 mmHg. Nitroglycerin spray has some effect on the pain.

Dement patient with chest pain for 6 hours. The pain disapeared after nitroglycerin spray.

Patient with COPD and paroxystic atrial fibrillation and has a DDD pacemaker because of sick sinus syndrome. Increasing shortness of breath over a few days. No chest pain.

Family history of severe ischemic cardiovascular illness. Active smoking. Onset of chest pain 20 minutes ago.

Cardiac arrest, single DC cardioversion to spontaneous circulation. Awake, a little confused.

Previously healthy patient. Two days with on / off discomfort in the left arm. Tonight at. 0:30 acute onset of severe, retrosternal, oppressive pain radiating to the left arm.

Central, oppressive chest pain radiating to the left arm for half an hour.

Previously healthy. 1 ½ hours with strong, oppressive retorsternal chest pain and dyspnea. Good effect of nitroglycerin given prehospitaly. Pale and clammy skin. Has usually a normal ECG.

Increasingly poor general condition with weight loss, loathing of food and today also abdominal pain.

History of previous PCI. Earlier in the day had tightness in the upper abdomen. Vomited.

11 days with central chest oppression radiating to both arms as well as sensation of fatigue in both arms.

Found unconscious with foam around the mouth. Wakes up confused.

Sudden onset of central chest pain radiating between the shoulder blades. Brief fainting.

Two weeks with intermittent chest pain, particularly severe for a few hours.

Patient with aortic stenosis. Dyspnea for the last few days. A little confused.

Wakes up with palpitations and irregular heartbeats.

History of CABG. Now exercise-induced chest pain radiating to the left arm for 10 days.

Shortness of breath and severe non-specific malaise after moderate exercise. BP 65/35mmHg.

Acute onset of central chest pain radiating to the left arm an hour ago.

Cardiac arrest preceded by retrosternal oppression. Single DC shock delivered during transport. Awake.

Not predisposed to heart disease. Worsening breathlessness over several weeks, cough.

Two to three days with stabbing pain on the right side of the chest, made worse by movement.

Former smoker patient with a family history of cardiovascular disease. Over the last few days, he had intermittent pricking sensation in the chest. Marked deterioration one hour ago with the pain radiating now to the neck.

This patient woke up 4 hours ago with shortness of breath, presyncope and flu-like symptoms.

Dizziness and several episodes of emesis over the past 12 hours. Then retrosternal pain radiating to the neck.

Former smoker with hypertension. He woke up this morning with a tingling sensation in both arms. No chest pain. BP 210/93 mmHg. Symptoms disappear completely after nitro spray.

This patient complained of chest pain but is now pain free but has shortness of breath and cough.

Patient with COPD and atrial fibrillation treated with digitalis. He complaints of shortness of breath and cough.

Active smoker with a family history of heart disease. Onset of chest pain an hour ago.

Intermittent chest pain for 8 years, now slightly increasing in frequence and intensity.

Previously healthy woman with a presyncope. Had a “unquiet heart” over the last 50 years but has never been properly investigated.

Found by nursing home staff with foam at the mouth.

Acute severe central retrosternal oppression radiating to the left arm for 30 minutes.

Previously healthy man without predisposition for heart disease. Brief and mild chest pain 12 hours ago. Have slept and is now pain free.

Patient with hypertension. New and persistent central pain.

Sudden onset of pain in the right shoulder, and then in the center of the chest.

Previously healthy patient. Sudden onset of palpitation and shortness of breath.

Palpitations and dizziness as well as chest pain radiating to the neck and arm.

CABG in 1998. Sharp chest pain after snow removal. BP 180/97 mmHg.

Previously healthy patient. Shortness of breath and presyncope for the last 4 days.

Central chest pressure radiating to the left arm for an hour.

Previously healthy patient with shortness of breath over a few days.

History of AMI / PCI. Wakes up with oppressive chest pain and feeling of reduced strength in both arms.

Central chest oppression for four hours. Now bizarre sensation in the left hand fingers.

Retrosternal pain radiating to the jaw, arm and back for one hour and a half.

History of CABG and PCI. Chest pain over the last 2 hours.