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ECG Exercise 11 - Harvard ECGs
ECG Exercise 11 - Harvard ECGs

ECG Exercise 11 - Harvard ECGs

Last updated 12/2/24

10 random cases taken from:

Nathanson LA, McClennen S, Safran C, Goldberger AL. ECG Wave-Maven: Self-Assessment Program for Students and Clinicians. http://ecg.bidmc.harvard.edu.

ECG #1

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CC: 78 yo F presenting with chest pain

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Estimate the heart rate (slow, fast, or normal), rhythm, and axis to the nearest quadrant.
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What conduction abnormality is present on the ECG?
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Are there pathologic Q waves present? What makes them pathological
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Overall, is this ECG concerning for ischemia?
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Resources

ECG #2

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CC: 65 year old F complains of severe dyspnea.

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Question
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Answer
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Resources

ECG #3

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What is the pathology / diagnosis?
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Resources

ECG #4

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CC: 85 yo M with history of CAD, Afib and CHF presents with syncope.

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What is the rhythm here?
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Resource

Case #5

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CC: Chest pain x 3 days

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Estimate the heart rate (slow, fast, or normal), rhythm, and axis to the nearest quadrant.
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What conduction abnormality is present on the ECG?
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Is this ECG ischemic?
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Resources

Case #6

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CC: 17 year old F with history of palpitations, syncope and ventricular arrhythmias (s/p ICD) here for a med refill.

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Question
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Answer
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Resources

ECG #7

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CC: 30 year old M presents with lower chest pain that occurred after eating a greasy cheeseburger that’s worse with twisting his upper body

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Question
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Answer
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Resources

ECG #8

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CC: 44 yo F with no medical history presents with routine checkup.

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Question
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Answer
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Resource

ECG #9

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CC: 77 yo F with intermittent chest pain for 1 week.

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Is this ECG concerning for ischemia?
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Your medical student notices a loud, harsh holosystolic murmur. What can be the cause?
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Resources

ECG #10

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CC: 88 yo F presents diffuse abdominal pain and hypotension

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Estimate the heart rate (slow, fast, or normal), rhythm, and axis to the nearest quadrant.
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What else is going on here?
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Resources

This post is for education and not medical advice.

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