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Cardiology

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ECG predictors of Cardiac Arrhythmias in Elderly with Syncope

CASE A 72 yo woman presents to your emergency department following an episode of syncope. There was a...

Slow Atrial Fibrillation or Complete Heart Block: Lewis lead to the rescue

A 90-year-old gentleman presents via ambulance to the ED. He has suffered a presyncopal episode whilst out at...

The Lewis Lead

The Lewis lead(1), is a means of detecting atrial activity and can be used where p waves are...

Brugada Syndrome

A 25 year old male presents to the emergency department following a near syncopal episode. His ECG shows...

11 Things to Maximise Adult Cardiac Resuscitation

INTRODUCTION I was recently speaking with a colleague, about a recently published paper on ‘ideal’ compressions and depth...

Runaway Pacemaker and Lethal Arrhythmia

A potential complication of a failing pacemaker, is a condition known as 'Runaway Pacemaker'. Below are two cases...

The U wave and the ECG: Don’t miss this

The U wave is an often ignored deflection on the ECG. It is usually < 1mm, upright and...

Upright T wave in V1

A 65 year old woman presents with a 20 minute episode of chest pain. Her ECG is shown...

Syncope in Children

Syncope is not uncommon, occurring in up to 25% of children. Most causes are benign, however we need...
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