ECG-EN

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Sudden Heart Racing After Espresso

History colloquialmedical terminology For about an hour my heart has been pounding so fast and irregularly. It started after I drank a double espresso. I have no chest pain or shortness of b…→

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Upper Abdominal Pain in COPD

Greeting and personal dataCurrent complaintsMedical history and previous examinationsMedicationsAllergies and intolerancesSubstance use and social historyFamily history 👨‍⚕️ Hello, my name i…→

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Understanding the ECG: Basics, Waves, Intervals and Cardiac Axis

Step 1 Check name and date Step 2 Technical details Leads: 12-lead ECG (I, II, III, aVR, aVL, aVF, V1–V6) Speed: 25 mm/s Calibration: 10 mm/mV → calibration trace with 1 mV deflection = 10 m…→

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Ventricular Extrasystoles and Chest Pain

Medical history interview Greeting and brief introductionPersonal dataCurrent complaintsPrevious episodesAutonomic historyPast medical historyOperations and hospital staysMedicationsAllergie…→

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Sudden Heart Palpitations with Chest Pain

Medical history interview Greeting and brief introductionPersonal dataCurrent complaintsAccompanying chest complaintsPrevious episodesSymptoms after palpitationsOther complaintsPast medical…→

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Internal restlessness — outpatient or inpatient?

Medical history interview Greeting and brief introductionPersonal dataCurrent complaintsNeurological complaintsPast medical historyOperations and hospital staysMedicationsAllergies and intol…→

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Chest pain in a 50-year-old patient

History Clinical examination General condition The patient is awake, fully oriented and hemodynamically stable. He appears slightly anxious but is not in acute respiratory distress. The skin…→

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Angina equivalent?

History A 70-year-old patient presents with nausea, a pressure sensation in the epigastrium and general malaise. According to his own report, the symptoms began this morning and have been pr…→

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Sudden Cardiac Arrest During ECG Recording

History The patient reports approximately two hours of recurrent palpitations. The episodes start suddenly, last a few seconds to minutes each, and occur both at rest and with light physical…→

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ECG in Children and Adolescents

Children are not small adults – this also applies to the ECG. Heart rate, intervals, electrical heart axis and the morphology of individual leads change with age. Do you see a difference fro…→

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Palpitations

74-year-old patient with sudden-onset palpitations A 74-year-old patient presents to the emergency department. He reports sudden-onset palpitations for about two hours. The symptoms began at…→

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Unpleasant Sensation Between the Shoulder Blades

Case description A 65-year-old female patient presents with an unpleasant sensation between the shoulder blades that has been present for three days. She denies pressure or tightness in the…→

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Discharge or hospital admission?

History Current complaints Epigastric pain for approx. 2 hours Radiating to the shoulder Pain onset at rest No improvement since onset Important negatives No chest pain No dyspnea No nausea…→

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Only Nausea and Vomiting?

Case description A 67-year-old female patient presents with nausea, repeated vomiting and generalized weakness. The symptoms began approximately five to six hours before presentation.  She d…→

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20-year-old with right-sided pleuritic chest pain

Case description A 20-year-old patient presents to the emergency department with 3 days of pain in the right hemithorax. The pain began suddenly, is sharp, pleuritic, and worsens when lying…→

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ECG Case: Tombstone STEMI in the GP Practice

History Doctor, I have had very severe chest pain for about 45 minutes. It feels like something heavy is lying on my chest or squeezing it. The pain radiates into my left arm and neck. It si…→

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Chest Pain and Abnormal ECG

Current medical history A 68-year-old woman presents to the emergency department because of left-sided chest pain. The complaints began at rest about 2 hours ago. The patient describes a per…→

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Epigastric Pain and Tachycardia

History An 84-year-old woman presents to your practice with about 10 hours of pressing pain in the epigastrium. The complaints are present both at rest and on exertion and have not subsided…→

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Premature atrial contractions (PAC)

Premature atrial contractions (PAC) – Simply explained: definition, ECG features and clinical significance What are premature atrial contractions? Premature atrial contractions (Premature At…→

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Rhythm analysis: Monitor or 12-lead ECG?

History An older patient with known COPD (GOLD II) is admitted to the intensive care unit because of an acute respiratory failure with marked dyspnea and increasing hypoxemia. Despite oxygen…→

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ECG Quiz: Hypertensive Decompensation After Stress?

Patient: 75 years History The 75-year-old patient presented due to elevated blood pressure after an acute stress situation. Her medical history includes arterial hypertension and type 2 diab…→

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ECG Quiz: 56-year-old female patient: Dyspnea + pressing chest pain

History Symptoms: Paresthesias in the left arm Past medical history: Hypothyroidism Vital signs: Pulse 140/min, BP 160/110, SpO₂ 94 % Important note: Propranolol forgotten Quiz Which arrhyth…→

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ECG Quiz: 45-year-old Patient with Impaired Consciousness

45-year-old patient with a single episode of vomiting and impaired consciousness. Vital signs and blood glucose within normal range. Which ECG abnormality do you notice and what is your most…→

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ECG Quiz: Your Decision?

Case description An approximately 45-year-old patient without known pre-existing conditions collapses after physical exertion or swimming. Emergency services bring him to the emergency depar…→