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Published: 27 February 2025
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February Tip of The Month - 12 lead interpretation Week 4

Welcome to the Final Week of ECG Reviews!

This week, we present six ECG examples from patients who all shared the same final diagnosis. Each patient presented with some form of chest pain and shortness of breath.

While historical and clinical clues may provide valuable context, we’re keeping those details undisclosed for now. Your challenge is to analyze the ECGs carefully and determine common patterns or findings that might hint at the underlying diagnosis.

Key Areas to Focus On:

  • T waves: Are there signs of ischemia, hyperacute changes, or repolarization abnormalities?
  • Territories: Which areas of the myocardium appear affected? Consider anterior, inferior, lateral, or posterior involvement.
  • Intervals: Assess for prolonged PR, widened QRS, or QT abnormalities that could provide diagnostic clues.

Your Task:

  1. Review the provided ECGs.
  2. Identify common patterns across all cases.
  3. Consider potential underlying causes based on ECG findings alone.
  4. Formulate your working diagnosis before next week’s reveal.

Next week, we will provide detailed explanations and discussion on these cases.

Good luck, and we look forward to your interpretations!

ECG 1

ECG 2

ECG 3

ECG 4

ECG 5

ECG 6