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I was sent this ECG — without the benefit of any clinical information. — What is the rhythm? — How certain are you of your answer? — GO TO — tinyurl.com/KG-Blog-468 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a middle-aged woman with epigastric (but not chest) pain for the past 1 hour. She was diagnosed in the ED as having gastritis. 1st Troponin was normal. — Your thoughts on this case? — GO TO — tinyurl.com/KG-Blog-469 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a previously healthy middle-aged man with new Chest Pain. The “title” of my ECG Blog #470 is, “This ECG tells a story”. — What is “the Story” that this ECG tells? — GO TO — tinyurl.com/KG-Blog-470 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a man in his 60s — who presents with an acute pulmonary illness. No chest pain. — How would you interpret this ECG? (There are 2 findings!) — GO TO — tinyurl.com/KG-Blog-471 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a middle-aged man who presents with 6 hours of chest pain. He is hemodynamically stable. — There are at least 4 major findings. How many can you identify? — GO TO — tinyurl.com/KG-Blog-472 —#ECG - #ECG_Ken_Grauer - #EKG — :)

You are shown this ECG — without the benefit of any history. This tracing was interpreted as sinus tachycardia with some kind of BBB (Bundle Branch Block). — What kind of BBB is this?— GO TO — tinyurl.com/KG-Blog-473 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a man in his 60s — who presented to the ED with 2-3 days of intermittent CP (Chest Pain) — and now a 1 hour duration of 10/10 CP. — In view of this history— How do YOU interpret this ECG?— GO TO — tinyurl.com/KG-Blog-474 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from an older man with known coronary disease. Presents to the ED for chest tightness since the previous night. — Cardiology interpreted this tracing as SVT with aberrant conduction. Do you agree? — GO TO — tinyurl.com/KG-Blog-475 —#ECG - #ECG_Ken_Grauer - #EKG — :)

Providers could not decide if the wider beats on this ECG are PVCs — or PACs with aberration. — Which of these 2 interpretations do YOU favor? — How would you interpret this ECG?— GO TO — tinyurl.com/KG-Blog-476 —#ECG - #ECG_Ken_Grauer - #EKG — :)

Compare these 2 tracings. — Is one or both of them 3rd-Degree (Complete) AV Block? If not — Why not? — GO TO — tinyurl.com/KG-Blog-477 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This lead II rhythm strip is from an older man on multiple medications — who presented with shortness of breath. — The concern was whether this is intermittent episodes of Torsades vs PMVT (PolyMorphic VT)? — GO TO — tinyurl.com/KG-Blog-478 —#ECG - #ECG_Ken_Grauer - #EKG — :)

Technical “Misadventures” ( = Lead Reversals / Artifact) often go unrecognized. Here are LINKS to over 50 examples. — What do you see in Sample CASE #1? — HINT: This is not a high-lateral infarction — GO TO — tinyurl.com/KG-Blog-479 —#ECG - #ECG_Ken_Grauer - #EKG — :)

ECG from a 60s man with known cardiac amyloidosis. He reports “dizziness” — but no chest pain. — How to interpret this ECG? — Is the history of amyloid relevant? — Has there been an MI? — What is the rhythm? — GO TO — tinyurl.com/KG-Blog-480 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a middle-aged man with a history of epigastric pain and “faints” over the previous 4 days. He has not has chest pain. — How would you interpret this ECG? — Should he cath lab be activated? — GO TO — tinyurl.com/KG-Blog-481 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a man in his 60s who contacted EMS with new CP (Chest Pain). — How would you interpret this ECG? — Should the cath lab be activated? If not — Why not? — GO TO — tinyurl.com/KG-Blog-482 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a 60-year old woman who presented to the ED with new CP (Chest Pain). — How would you interpret this ECG? — Should the cath lab be activated? If not — Why not? — GO TO — tinyurl.com/KG-Blog-483 —#ECG - #ECG_Ken_Grauer - #EKG — :)

ECG from a man in his 80s in for “routine follow-up”. No symptoms! Not on any rate-slowing meds. — This ECG was obtained for an irregular pulse. — Your interpretation of this challenging ECG? Treatment? GO TO — tinyurl.com/KG-Blog-484 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a middle-aged man with intermittent CP (Chest Pain) since the previous day. Initial hs-Troponin was negative. — How would YOU interpret this tracing? — Should the cath lab be activated? — GO TO — tinyurl.com/KG-Blog-485 —#ECG - #ECG_Ken_Grauer - #EKG — :)

This ECG is from a middle-aged man with intermittent CP (Chest Pain). Hemodynamically stable. — How would YOU interpret this tracing? What is the rhythm? Should the cath lab be activated? — GO TO — tinyurl.com/KG-Blog-486 —#ECG - #ECG_Ken_Grauer - #EKG — :)

I saw this ECG knowing only that it was from a woman with CP (Chest Pain). Many of my colleagues interpreted this tracing as “normal”. — Do you agree? Explain your answer. — GO TO — tinyurl.com/KG-Blog-487 —#ECG - #ECG_Ken_Grauer - #EKG — :)