55 year old, chronic

smoker presented
with chronic dyspnea
and swelling feet.
O/E- S3 present
increasing on
inspiration on left
lower parasternal area
Dr Arvind

What is the qrs axis

What is P wave abnormality

1
25 year old
female,
presented with
chronic dyspnea
and swelling of
feet.
O/E- Mid
diastolic Dr Arvind
murmur at apex
noted

What is the sign in V1 known as?

What is the sign in lead II known as?
2
65 year old male with
history of uncontrolled
hypertension
O/E – BP- 160/100
LV S4 at apex is auscultated

Dr Arvind
What are ecg findings in terms of
-qrs axis
-LVH or RVH

3
35 year old female
with idiopathic
pulmonary
hypertension
presented with
progressive dyspnea
for 1 year
O/E- JVP is raised Dr Arvind
S4 heard in left lower
para sternum which
increases on What are ecg findings in terms of
inspiration -qrs axis
-LVH or RVH

4
Asymptomatic 30
year old male
patient comes for
routine health
check up
O/E -wide split of
S2 noted Dr Arvind
What is the main qrs
morphology abnormality

5
55 year old
male with past
h/o
anterolateral
wall MI
O/E- Reverse
split of S2
noted
Dr Arvind
What is the qrs morphology abnormality

6
Determine QRS axis

Dr Arvind

7
Determine QRS axis

Dr Arvind

8
Determine QRS axis

Dr Arvind

9
Determine QRS axis

Dr Arvind

10
Determine
the wall of MI

Dr Arvind

11
Determine the
wall of MI

Dr Arvind

12
Determine the
wall of MI

Dr Arvind

13
Determine the
wall of MI

Dr Arvind

14
Identify the arrythmia from page 16 to 32

15
Dr Arvind

16
Dr Arvind

17
Dr Arvind

18
Dr Arvind

19
Dr Arvind

20
Dr Arvind

21
Dr Arvind

22
Dr Arvind

23
Dr Arvind

24
Dr Arvind

25
26
Dr Arvind

27
28
Dr Arvind

29
Dr Arvind

30
Dr Arvind

31
Dr Arvind

32
Dr Arvind

33
Patient presented
with hypothermia

Dr Arvind

Name the wave sign? 34

 Dr Arvind

Identify the name of wave sign?

35
 Dr Arvind

Identify the wave sign?

36
 Dr Arvind

Which dyselectrolemia causes these ecg signs?

37
Which electrolyte abnormality cause these
ecg changes
38