A 72 year old woman presents with palpitations and pre-syncope. Initial ECG is shown (Figure 1):
A Valsalva manoeuvre is attempted and subsequent ECG is shown
A 19 year-old woman presents with palpitations. Continuous rhythm strip post adenosine is shown. What is the likely mechanism of tachycardia? Does this patient need an urgent ablation?
A/Prof Alex Voskoboinik, March 2023
A 68 year old male with a long standing non-ischaemic cardiomyopathy is admitted with a NSTEMI and found to have triple vessel disease. On Day 1 post-CABGs, he complains of dizzy spells and the following is seen on telemetry.
A/Prof Alex Voskoboinik, February 2023
A 16 year old girl with a history of recurrent paroxysmal palpitations and a structurally normal heart has the following 12-lead ECG recorded during an especially severe episode for which she obtained urgent medical assistance.
Haris Haqqani, November 2022
A 57 year-old woman with a loop recorder in-situ for investigation of syncope presents to the emergency department with recurrent dizzy spells. Loop recorder tracings (1 & 2) are shown on the link below
Alex Voskoboinik October 2022
A 76 year-old gentleman presents for a pacemaker check 4 months post implant. High ventricular rate episodes are noted, as shown below. He is asymptomatic during episodes:
Alex Voskoboinik September 2022
A 28 year old nurse with a long history of paroxysmal palpitations has the following 12-lead ECG and 2-channel telemetry trace recorded during an episode.
Haris M. Haqqani August 2022
Stem: A 29 year-old male presents with a 2 month history of frequent palpitations. Bedside TTE shows mild-moderate global LV dysfunction. What are the differential diagnoses?
Alex Voskoboinik May 2022
A 25 year-old male with no past history presents with palpitations.
What is the most likely diagnosis? Why are there two QRS morphologies?
Alex Voskoboinik April 2022