ecg in emergency room, how ppt.ppt

7/27/2019 ECG in Emergency Room, How PPT.ppt

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The Most Wanted ECGs in EmergencyRoom.

How to Read? How to Manage?

Dr. M. Yusuf Suseno, SpJP, FIHA

Telogorejo Heart Centre, Semarang.

Elisabeth Hospital, Purwokerto.

Harapan Ibu Hospital, Purbalingga


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1. 30 years old male with atypical chest pain after

heavy exercise

Normal Sinus 70x/min axis Normal with Early Repolarization


3/43

2. 35 years old woman with sharp chest pain at

episgastrium

Normal Sinus Rhythm 60x/min, axis N


4/43

3. 45 years old man with hypertension,

180/90

Sinus, 80x/min, LAD


5/43

4. 40 years old man, fever, BP 170/90

Sinus Tachycardia 150 x/min


6/43

5. 55 years old man with shortness of

breath

Sinus 100x/min, Complete RBBB


7/43

6. 65 years old man, chest pain.

Sinus, 66 x/min, AV Block gr1, LBBB


8/43

7. Female, 75 years old, pre syncope, take

bisoprolol 5 mg for 2 weeks

Sinus Bradikardi 35x/min


9/43

8. 34 years old man, dyspnea, poor renal

function

us 80x/min, tall T at V3-V6 Suspect due to Hyperkale


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9. 45 y.o man, 2 hours ago got palpitation.

Sinus, 80x/ min, WPW


11/43

10. 54 y.o man, post PCI 2 years ago,

atypical chest pain

Sinus, 80x/min, AV Block gr 1, Complete LBBB


12/43

11. Female 65, shortness of breath

AF Rapid Response100-170 x/min


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12. Man 40 y.o, just wanna check his ECG.

Sinus, 90x/min, normal axis, AV Block grade 1


14/43

13. Female, 30 y.o, palpitation

SVT 200 x/min


15/43

14. Female 70 y.o, post syncope.

Total AV Block, VER 50 x/min/Complete LBBB


16/43

15. Female 45 y.o palpitation

SVT 170 x/min


17/43

16. Female, 60, post PCI 2 month ago, dizziness

Sinus 66 x/min, AV Block Grade 2 Mobitz type 1, artefa


18/43

17. Man 50 years old 80/50

VT

18 Female 30 years old in partu with congenital


19/43

18. Female 30 years old in partu with congenital

heart diseases

Sinus 80 x/min, PAC Trigemini, Complete RBBB


20/43

19. Man 60 years old, post trombolitik

Accelerated Ventricular Rhythm

an years o pa p a on an


21/43

. an years o pa p a on ansyncope take amiodaron

Sinus, PVC, VT, Torsade de Pointes


22/43

21. Male 60 years old, dyspneu.

Total AV Block with Junctional Rhthm 50x/min, RAE,

LAE


23/43

22. Male 45 y.o palpitation.

Atrial Flutter 2:1

23 Female 40 y o dyspneu taking digoxin from


24/43

23. Female 40 y.o dyspneu taking digoxin from

GP

Sinus Bradi 55x/min, PVC Bigemini


25/43

24. Woman 34 y.o palpitation, dyspneu.

AF Rapid Response 110-170 x/min


26/43

25. Male 50 y.o weakness

Junctional Escape Rhythm 55x/min


27/43

26. Woman, 35, Hyperthyroid, palpitation.

AF Rapid Response 100-180x/min


28/43

27.Male, 70 yo, general weakness, anoreksia.

Sinus 80x/min AV Block grade 2 Mobitz type 1 PVC


29/43

28. Male 60 yo, palpitation, BP 80/60

SVT 180x/min


30/43

29. Male 25, CKD, miss his 2 last dialysis

Sinus Arrest with Ventricular Escape Rhythm Tall T

due to Hyperkalemia

30 Male 60 yo NSTEMI suddenly collapse BP


31/43

30. Male 60 yo, NSTEMI, suddenly collapse, BP

100/60

Wide QRS tachycardia, Suspect VT

31 Female 60 yo Uncontrolled DM atypical


32/43

31. Female, 60 yo, Uncontrolled DM, atypical

chest pain, shock.

Sinus 120 x/min, superior axis, Large Anterior STEMI


33/43

32. Male 45 yo, syncope 2 hours ago.

Sinus 50 x/min, Large Anterior STEMI


34/43

33. Male 78 yo, abdominal discomfort, nausea

Sinus 70x/min, STEMI Inferior


35/43

RV

RV Infarct !


36/43

34. Male 50, typical chest pain after tennis.

Sinus 90x/min, LAA, Large Anterior Ischemia

35 M l 45 h t f b th t t 3 th


37/43

35. Male 45 y.o, shortness of breath, start 3 month

ago

Sinus 70x/min, normal axis, OMI Antsep, Large

Anterior Ischemia

36 F l 75 h t i i 2 d l


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36. Female 75 yo, chest pain since 2 days, early

pulmonary edema, BP 90/60.

Sinus 80 x/min, RAD, Ischemia Anterior and Inferior


39/43

37. Male 55 yo, typical chest pain 6 h ago after

dinner.

Sinus 70 x/min, Anterolateral STEMI

38 Male 67 o chest pain lasting 30


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38. Male 67 yo, chest pain lasting 30

minutes yesterday

Sinus 80x/min, Recent IMA Inferior

f


41/43

39. Female 50 yo, acute heart failure, starting

chest pain 2 days ago.

Sinus 100x/min, STEMI Anterior


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40. Male 80 yo, no chest pain, demensia.

Sinus 75x/min, Recent IMA Anterior


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Thank You.

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ecg in emergency room, how ppt.ppt

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