what's your first thought before seeing the twelve lead | Figure 1

What's your first thought before seeing the twelve lead

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Elderly patient with known AF on oral anticoagulant, presents with tachypnea, hypoxia PaO2: 7.98, expectorating clear phlegm, describe your findings and outline a plan of treatment.

What is this rhythm? The pt was a 90+ female with slow onset SOB and chest pain. The ER physician said she didn't know...

female patient 76 years with chest pain

60ish YO male Admitted to hospital with decompensated heart failure EF 25%, severe functional mitral stenosis, LBBB, hypertension, dyslipidaemia, diabetes T2. CRT device inserted with complications of site haematoma. Ongoing episodes of symptomatic dysrhythmia on telemetry resolving with increasing oral amio dosing. Overnight decompensates with significant hypotension and irregular heart rhythm as pictured above. Intervenous amiodarone boluses given with no effect. Pressors started and increasing. Emergently cardioverted as above. What rhythm do you see pre & post DCCV?

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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?