EHRA 2022 - EHRA Young EP ECG Contest 1st Round
Results
Missed the first round or wish to discover the correct answers and learn more ?
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Missed the first round or wish to discover the correct answers and learn more ?
Take the quiz!
ECG 1
75-year-old patient, dual chamber pacemaker for paroxysmal AV block. ECG recorded during tachycardia.
What is the most likely diagnosis based on the ECG shown?
ECG 2
A 85-year-old patient describes palpitations after a transfemoral aortic valve implantation.
The following ECG is recorded:
What is the most likely diagnosis based on the ECG shown?
Sinus rhythm with first degree AV block, right bundle branch block and left anterior fascicular block
Atrial fibrillation with right bundle branch block and left anterior fascicular block
ECG 3
You receive a notification from LifeVest Network from a 55-year-old patient who was prescribed with a wearable cardioverter defibrillator due to temporal explantation of a CRT-D system due to infection. The following single lead ECG is transmitted:
What is the most likely diagnosis based on the ECG shown?
ECG 4
A 45-year-old patient with history of coronary artery disease describes dyspnoea upon exertion.
The following ECG is recorded:
What is the most likely diagnosis based on the ECG shown?
ECG 5
3-week newborn with antenatal tachycardia without recurrence at birth, no structural heart disease. Systematic holter at 3 weeks. ECG recorded during adenosine injection.
What is the most likely diagnosis based on the ECG shown?
ECG 6
11-year-old boy with palpitations during sports. ECG recorded after symptoms.
What is the most likely location of the accessory pathway?
ECG 7
5-year-old girl, asymptomatic, no structural heart disease.
What is the most likely diagnosis based on the ECG shown?
ECG 8
22-year-old male patient
Anamnestic data:
- Family history of sudden death
- Previous syncope
What is the most likely diagnosis based on the ECG shown?
What was the most likely reason for the patient's death?
ECG 10
76-year-old female patient
History of recurrent syncope without prodrome.
Recent vomiting and diarrhea.
No other diseases.
What is the most likely diagnosis based on the ECG shown?
ECG 11
What is the most likely site of origin of the ventricular ectopic beat?
ECG 12
These ECG are of the same patient.
What management would you propose?
ECG 13
75-year-old man, no structural heart disease, recurrent episodes of palpitations with sudden onset and termination.
What is the most likely diagnosis based on the ECG shown?
ECG 14
82-year-old male patient with previous left bundle branch block who is admitted to the emergency because of chest pain. His ECG is shown:
Is it possible to suspect the diagnosis of myocardial infarction by assessing the ECG ?
ECG 15
69-year-old female admitted to the emergency department because of an episode of seizures. During the stay at the ED, the patient presents again with a new episode of seizures, while the 12-lead-ECG was being recorded.
What can be said about the ECG ?
ECG 16
59-year-old male is admitted to the emergency department because of dizziness. Bradycardia is detected at 30bpm.
What is the most likely diagnosis based on the ECG shown?
ECG 17
20-year-old female who undergoes an ajmaline challenge due to family history of Brugada syndrome. To increase test sensitivity, the 6 precodial leads are placed at both sides of the parasternal region, with leads V1-V2 at their usual position (4th intercostal space), V3-V4 at 3rd intercostal space, and V5-V6 at 2nd intercostal space.
ECG after 5 minutes of ajmaline infusion:
After finishing the infusion, the patient presented sudden palpitations, without loss of consciousness, recording this ECG:
Which is the best drug treatment for this type of induced arrhythmia?
ECG 18
40-year-old male with no previous medical history is admitted to the emergency department presenting with syncope preceded of palpitations, without chest pain or any other symptom. 12 leads ECG is shown:
What is the most likely diagnosis based on the ECG shown?
What is the most likely rhythm in this ECG?
What is the most likely P wave origin?
Following a DC cardioversion for atrial fibrillation this rhythm is observed. What is it most likely?
ECG 22
40-year-old male with previous history of non-compaction cardiomiopathy with LVEF 45%, who presents now with this ECG:
Which is the most probable site of origin of the extrasystoles?
ECG 23
17-year-old female with previous history of Ebstein’s anomaly who presents to the emergency department with palpitations and dizziness.
Which is the most probable tachycardia?
What is the most likely rhythm in this ECG?
ECG 25
A 75-year-old women with a DDD because of an history of sick sinus node.
She presents to your consultation with the following ECG.
What is the most likely diagnosis based on the ECG shown?
ECG 26
A 72-year-old patient presents to the emergency department because of dyspnea. A pulmonary embolism is diagnosed. What does the ECG show?
ECG 27
An 89-year-old patient presents to the emergency department because of dyspnoea, 2 weeks after placement of a dual chamber pacemaker implantation because of intermittent total AV block with reduced LV fun
What is the most likely diagnosis based on the ECG shown?
ECG 28
48-year-old men presents with palpitations. He is known with paroxysmal atrial fibrillation. He takes 2,5 mg bisoprolol and 200mg flecainide modified release.
What is the most likely diagnosis based on the ECG shown?
ECG 29
23-year-old women with history of epilepsy is resuscitated at home after loosing concioussens, sitting on a chair.
Genetic analyses reveals a loss-off fun
This ECG shows onset of a supraventricular tachycardia. What is the most likely mechanism of the tachycardia?
ECG 31
42-year-old patient presents to the ER due to palpitations.
12 lead ECG is shown.
What is the most likely diagnosis based on the ECG shown?
ECG 32
65-year-old patient presents to the ER with dyspnoea, fatigue and chest pain. The patient underwent pulmonary vein isolation a week ago. He is taking flecainide, metoprolol and dabigatran.
12 lead ECG is shown.
What is the most likely diagnosis based on the ECG shown?
ECG 33
39-year-old patient presents to the ER with syncope. He has no previous medical history.
His father died suddenly at the age of 34.
12 lead ECG is shown.
What is the most likely diagnosis based on the ECG shown?
ECG 34
69-year-old patient with history of dilated cardiomyopathy, LVEF of 30% and left bundle branch block presents to the ER with palpitations and fatigue.
12 lead ECG is shown.
What is the most likely diagnosis based on the ECG shown?
ECG 35
21-year-old male patient, with no previous medical history, presents to the ER after syncope. His 12 lead ECG is shown.
What is the most likely diagnosis based on the ECG shown?
ECG 36
71-year-old male patient, with no previous medical history, presents to the ER after syncope. His 12 lead ECG is shown.
What is the most likely diagnosis based on the ECG shown?
ECG 37
69-year-old female patient, with history of hypertension, type 2 diabetes and no symptoms, records a 12 lead ECG after regular pulse evaluation at her GP.
What is the most likely diagnosis based on the ECG shown?
ECG 38
71-year-old patient, with history of hypertension, type 2 diabetes and smoking presents to the ER with chest pain.
At arrival his BP is 80/60 and 12 lead ECG is recorded.
Based on the ECG, what is the most likely culprit lesion of the acute coronary syndrome?
ECG 39
28-year-old patient presents with palpitations.
12 lead ECG is recorded.
What do you see on the ECG?
ECG 40
72-year-old patient collapsed at the hospital department. ECG is recorded.
What is the most likely diagnosis based on the ECG shown?
ECG 41
A 45-year-old patient was implanted with a loop recorder after recurrent syncopes.
A tracing is transmitted via telemedicine:
What is the most likely diagnosis based on the ECG shown?
ECG 42
The following ECG is recorded in an emergency department:
What is the reason for the third degree AV block?
ECG 43
A 65-year-old patient with history of coronary artery disease presents at the emergency department because of palpitations.
The following ECG is recorded:
What is the most likely diagnosis based on the ECG shown?
ECG 44
A 48-year-old patient with suspicion of anterior myocardial infarction.
Normal coronary angiography. ICD implanted in secondary prevention for VT.
The following ECG is recorded:
Father with sudden cardiac death at the age of 50
Positive genetic test:
What is the most likely diagnosis based on the ECG shown?
ECG 45
A 25-year-old patient, former athlete, decreased exercise tolerance.
MRI with sever fibrosis of the interventricular septum, preserved systolic fun
The following ECG is recorded:
Paper speed is 50 mm/s.
During exercise
Father with sudden death at the age of 52
Positive genetic test:
What is the most likely diagnosis based on the ECG shown?
