EHRA Young EP ECG Contest
Missed the first round or wish to discover the correct answers and learn more ?
Take the quiz!
Missed the first round or wish to discover the correct answers and learn more ?
Take the quiz!
In her past history she underwent 3 ablations for WPW syndrome with a para-Hisian accessory pathway and a concealed left lateral accessory pathway.
The following ECG is recorded in the ER:
What is the most likely diagnosis ?
What is the most likely diagnosis?
Apical HCM
Amyloidosis
She has a history of atrial flutter ablation one year prior to current presentation.
The following resting ECG was recorded:
What is the most likely diagnosis?
The following 12-lead ECG is recorded (50mm/s):
Which phenomena can be spotted on the ECG?
The resting ECG is as follows:
What is the most likely accessory pathway location?
A 77 year old male patient presented with recurrent episodes of palpitations.
ECG during tachycardia, as well as baseline ECG, are shown:
What is the most likely mechanism of the arrhythmia?
A 45 year old patient is referred by his cardiologist because of an "abnormal ECG".
He has a family history of sudden cardiac death; his brother died at age of 49 years.
The following resting ECG was recorded:
What is the most likely diagnosis?
CLINICAL CASE
Sports pre-participation cardiovascular screening revealed abnormal ECG findings in a 20 year old asymptomatic man.
For further evaluation a 24-hour ECG recording was performed. The following strips were recorded:
What is the most likely diagnosis?
What is the most likely diagnosis?
CLINICAL CASE
A 63 year old man presented to the ED with sudden onset palpitations.
He has a history of arterial hypertension and dyslipidemia.
The following ECG was obtained:
What is the most likely diagnosis?
A 67 year old man presented with history of hypertension and PVCs.
Recent 24h Holter showed >25000 monomorphic PVCs.
Echocardiogram showed 50% LVEF, coronary angiogram and cardiac MRI were normal.
Where is the most likely site of the PVC origin?
CASE
A 53 year old male presents to the emergency department with palpitations and tachycardia at 130 bpm.
In the ED intravenous 12 mg adenosine was administered with the following ECG recording.
What is the most likely diagnosis?
CASE
A 49 year old patient presents with recurrent palpitations, dizziness and angina during exercise.
What is the most likely diagnosis?
CLINICAL CASE
A 65 year old patient presented with AV block and recurent syncope and underwent permanent pacemaker implantation.
The following surface ECG was recorded during follow-up.
What can be observed on the three ECG strips from left to right?
A 45 year old patient presented to the ED with palpitations and shortness of breath.
An echocardiogram and a coronary angiogram were normal.
What is the most likely diagnosis?
A 40 year old male was referred to the cardiology outpatient clinic for asymptomatic, high burden PVCs.
What is the most likely localization of the PVC’s focus?
CLINICAL CASE
A 55 year old man with a history of anterior myocardial infarction and ICD for secondary prevention presents with palpitation. Echo showed reduced LVEF (30%).
The following continous tracing was recorded during symptoms.
What is the most likely cause of palpitations?
CLINICAL CASE
A 32 year old female was referred to the cardiology outpatient clinic due to highly symptomatic PVCs. The ambulatory 24h-Holter-ECG recording revealed a high PVC burden (> 30%).
What is the most likely location of the PVC’s focus?
A 53 year old man presented to the ER complaining of palpitation.
He has a history of hypertension andPVCs. A 24h ECG Holter recording showed 30% PVC burden.
Echocardiogram showed 55% LVEF and coronary angiogram was normal.
The following tracing was recorded during symptoms.
Where is the most probable site of PVC origin?
CLINICAL CASE
A 59 year old male with a history on non-ischemic cardiomyopathy with mildly reduced systolic fun
What is the most likely diagnosis?
A 49 year old man presented to the emergency department complaining of palpitations and shortness of breath.
He had history of intermittent palpitations.
12-lead ECG recorded at presentation is shown:
What is the most likely diagnosis?
CLINICAL CASE
A 65 year old female patient with a history of coronary artery disease, arterial hypertension and diabetes presented with dyspnoea on exertion.
The following ECG was recorded in the emergency room:
What is the most likely diagnosis and how would you verify it?
CLINICAL CASE
A 72 year old patient with temporary transvenous cardiac pacing for complete AV block experiences a new syncope episode. The following tracing was recorded during symptoms.
What is the most likely diagnosis?
A 45 year old woman was rescued at Mount Everest showing signs of hypothermia.
Her ECG was the following:
What is the name of the phenomenon observed in the ECG?
A 50 year old male patient presents with a one-week history of atypical chest pain.
The following ECG is recorded:
What is the most likely diagnosis?
A 75 year old patient with a recent myocardial infarction, severely depressed left ventricular fun
The patient had a syncope, was shocked by the device and regained consciouseness.
The following 2-lead ECG was recorded during the episode:
How would you descripe the episode?
A 71 year old male, with a history of ischaemic heart disease, diabetes mellitus and hypertension, was admitted to the ED after complaining of palpitations and dizziness.
ECG recorded during ED examination is shown.
What is the most likely diagnosis?
The following ECG tracing was recorded on device interrogation.
Patient is asymptomatic.
A 24 year old patient with fever and syncope presented to the ED
Echocardiographic examination was normal.
Standard 12-lead electrocardiogram (ECG) is shown:
Which is the most likely diagnosis?
CLINICAL CASE
A 59 year old woman presents with palpitations. The following 12-lead ECG is recorded:
Which explanation for the beat indicated by blue arrows is the least likely?
A 72 year old male patient is referred for several episodes of recurrent sustained palpitations.
He has a history of dual-chamber ICD implantation for ischemic cardiomyopathy and severely reduced LVEF.
What is the possible explanation for the palpitations?
A 45 year old female with no medical history except smoking, was admitted to the ER due to palpitations lasting several hours.
A 12-lead ECG recorded during examinationis shown.
What is the 1st drug of choice in this case ?
A 69 year old male without known cardiac disease presents at the emergency department with palpitations.
On auscultation a mitral systolic murmur is noted.
The following 12-lead ECG is recorded.
What is the most likely diagnosis?
CLINICAL CASE
A 78 year old woman with ischemic heart disease and low left ventricular ejection fraction (35%) was referred for episodes of wide QRS complex tachycardia. The patient had been previously implanted with a dual-chamber ICD.
What is the most likely diagnosis?
A 20 year old male was referred to the cardiology outpatient clinic after army medical assessment revealed an abnormal ECG.
He is asymptomatic.
The resting ECG is shown.
What is the diagnosis?
A 54 year old patient is admitted for elective surgery tothe surgical ward.
Their ECG seems abnormal and you are called for an urgent consultation.
Where is the most likely origin of the ventricular ectopic beats?
A 73 year old male patient with history of coronary artery disease reports intermittent palpitations.
He reports no angina or syncope.
He recorded several single-lead ECGs with a smartwatch while he experienced palpitations:
What is the most likely diagnosis?
A 18 year old semi-professional basketball player complained of palpitations during a game and subsequently developed syncope, but regained consciousness within 20 seconds.
Medical team recorded the following ECG.
What is the most likely diagnosis?
A 25 year old patient is seen at the Emergency Department after sudden loss of conciousness.
The following ECG is recorded.
A 73 year old male patient with history of coronary artery disease reports intermittent palpitations.
He reports no angina or syncope.
He recorded a single-lead ECG with a smartwatch while he experienced palpitations and the algorithm found this tracing suggestive of atrial fibrillation:
What is the most likely diagnosis?
A 73 year old patient is planned for CABG surgery.
An ECG prior to surgery to asses arrhythmia and the need for surgical PVI is shown.
A 44 year old patient with familial history of atrial fibrillation and treated with low dose of betablocker and flecainide for persistent atrial fibrillation presented with recurrent atrial fibrillation.
He had no comorbidites.
The following ECG was recorded after cardioversion.
What is the most likely diagnosis?
CLINICAL CASE
An 87 year old patient with a history of persistent atrial fibrillation and coronary artery disease presented to the ED with fever, dysuria, dehydration and palpitations. She didn't remember the name of her regular medications.
The following ECG was recorded during ED examination.
ECG limb leads
ECG precordial leads
What drug is most likely causing this tachycardia?
A 76 year old patient presents to the emergency department with a presyncope.
The following 12-lead ECG is recorded.
A 23 year old male admitted to the emergency department after out-of-hospital cardiac arrest resuscitated with an AED (automated external defibrillator).
He has a family history of sudden death at young age in a maternal uncle.
His baseline 12-lead ECG recorded at his arrival at the emergency department is shown.
Which is the most probable cause of the sudden cardiac death?
A 60 year old male patient presents to the ED with a stroke.
His past medical history includes ischaemic cardiomyopathy with severely impaired LV fun
The following 12-lead ECG is recorded:
What are the spikes in ECG?
A 72 year old female patient without history of cardiovascular disease presents with palpitations and dyspnoea.
She reports no angina or (pre-)syncope.
The following 12-lead ECG is recorded:
What is your diagnosis?
