A 26 year old man with a 1 week history of flu like symptoms and

a 2 day history of chest tightness, was seen following a direct

admission to CCU. He was other wise a healthy fit Afro-Caribbean

gentleman with no past medical history. 

Observations were all within a normal range, apart from his

temperature which was 38.2

What are you ECG findings, and possible causes? 

A 70 year old Asian lady presented with a 24 hr history of pain between her shoulders. The pain was epigastric in nature and radiated down her left arm. He felt SOB and nauseated. No sweating

GTN taken, which eased symptoms but then returned.

MI x 2 CABG 16 yrs ago

IDDM

Permanent pacemaker in 2000 

What are your ECG findings?  

This was a 42 year old lady who was know to be diabetic, who came in to the resuscitation room at A&E, she had been found at home in a collapsed and unresponsive.

The cardiac monitor showed a raised “T” wave, and an ECG was performed.

What are the causes of a raised “T” wave on an ECG?

What could be causing these changes on her ECG? 

More detail below.

Her white cell count came back as 32.5 (this is very high, normal 4-12)

Her blood glucose was un-recordable on the monitor, indicating a high reading rather than low. 

Sodium 113.3 (normal 133-144)

Potassium   7.32      (normal 3.3-5.3)

Ph 6.98 (normal 7.35– 7.45) 

Do these results explain her ECG changes, and what would be the reason for admission? 

A 52 year old gentleman developed central chest pain  rated 8/10, while driving to a hospital appointment.

He felt sweaty, dizzy, short of breath and nauseated. At the clinic appointment, an ECG was performed. An ambulance was called, which took him to A&E.

ECG 1 was taken in the clinic, ECG 2 taken in A&E.

What are your findings on both, and what diagnosis could explain the changes?

What might be happening to the artery or within it to cause these changes?    

Case page 1 -  Case page 2 - Case page 3 - Case page 4  -  Case Page 5  -  Case page 6  -  Case page 7  - Case page 8 - Case page 9