@AMigelheva profile picture
Asanka Migelheva @AMigelheva

Emergency Physician special interest in Critical care, Retrieval Medicine and Toxicology #Traveller#FOAMED#Educator#Emergency physician#ECG#MD

Joined September 2014
  • Tweets 927
  • Following 933
  • Followers 994
272 Photos and videos
82-year-old female, unwell with cough for ~1 week. While walking to the bus she became dizzy, pale, and sweaty. ECG one given Amiodarone by the paramedics ECG two on arrival
4
11
29
2,577
26 year old pregnant lady 26 weeks of POA with severe epigastric pain -Acute pancreatitis confirmed with lipase 6000 ECG as below ( no ECGs to compare ) Thoughts
2
3
16
1,100
35 year old male coming with intermittent sharp episodic chest pain for the last 3 days duration Trop 1000— peaking to 4000 ECHO normal Angio mild muscular bridge on LAD What do you make of the ECG and presumptive Dx?
6
4
21
2,815
Mobitz type 11 or complete heart block ?
7
1
8
1,142
This patient had a Saddle PE needing urgent thrombolysis Would suspect a PE looking at his ECG ?
13
3
19
3,164
72 F Acute onset chest pain Value of serial ECGs (this change was over an hour ) Anything suspicious in the first ECG about what was coming?
9
4
28
2,088
Culprit artery/arteries ?
10
4
18
2,883
Culprits were LAD and D1
68
15 year old boy, acute onset palpitation with marginal BPs BG left Hypo-plastic heart heart syndrome with 4 reversion surgeries
7
3
17
2,518
We were thinking of AVRT as likelyDx , but his cardiologist had the impression to be Atrial flutter with 1.1
3
35
This was a interesting case, 72 year old male recent CABG 12 hours history of progressive SOB with pleuritic type of chest pain
4
2
20
1,908
I would label this as an essentially normal Looking EKG He had a RV strain feature on bed side ECHO and CTPA confirmed a saddle PE which was thrombolysed
1
43
53 year old female presenting central crushing chest pain ,has been on going for 12 hours now
11
5
39
4,995
CT Angio was normal , confirmed Takotsubo cardiomyopathy
1
50
Bed side ECHO was convincing for stress induced cardiomyopathy (Taskotsubo typical variation ) Waiting for coronary Angio will update with the results
1
100
72 year old female complaining of progressive Shortness of breath for few days What is your main concern with her ECG ?
7
4
22
2,429
38 year old male coming with acute onset lower chest and epigastric pain for few hours First Trop was negative at 1.5 hours
4
3
21
2,262
Presumptive Dx of WPW Had a CT which showed Evidence of calculus cholecystitis explaining his symptoms
3
95
72 year old male coming with episodic lightheadedness Thoughts?
12
6
17
2,047
Atrial bigeminy it is
2
65
62 year old male presenting with one month Hx of progressive lower limb swelling and shortness of breath What does the ECG tells ?
3
3
13
1,296
Load more