About the “ECG of the month”
Every month we’ll post an ECG trace that we invite you to “diagnose”. Click on the ECG trace image and then you submit your explanation by making a comment on the post. Your comment won’t appear until it has been approved so don’t worry if you don’t see it immediately.
Alternatively, you can email your thoughts and analysis to comms@scst.org.uk
Dr Richleys ECG of the Month – December 2024
Arrhythmia time again. Below are four strips from a 24-hour ambulatory ECG recording. What exactly is going on here? Dr Dave Richley Answer Added 30.11.24 It seems from the responses received that the two most popular explanations for what we see are (1) complete...
Dr Richleys ECG of the Month – November 2024
You are asked to report on this ECG. All you know is that it was recorded from a 70-year-old female who was complaining of breathlessness. What would you write in your report? I am grateful to Kate Hardy from Freeman Hospital, Newcastle upon Tyne, for providing this...
Dr Richleys ECG of the Month – October 2024
Yet again I’m indebted to Arron Pearce for my ECG of the month. This one was recorded from a 72-year-old male with chest pain. What I’m interested in is the rhythm and any possible conduction disturbances. Please provide as much detail as you can. The format of the...
Dr Richleys ECG of the Month – September 2024
This month’s ECG is one that I’ve had in my collection for many years, filed under ‘Don’t know’. I do have a possible explanation for what’s going on here but I’m far from certain that it is right, so I’d welcome your ideas and suggestions. Unfortunately, I don’t have...
Dr Richleys ECG of the Month – August 2024
The 12-lead ECG below (figure 1) and additional V1 rhythm strip (figure 2) were recorded from an 80-year-old female who was admitted to hospital with increasing dyspnoea. She had had previous admissions for dyspnoea. An echo showed severe biventricular dysfunction,...
Dr Richleys ECG of the Month – July 2024
Yet again I’m indebted to Arron Pearce, cardiac nurse and ECG analyst, for the ECG of the month. This one was recorded from a 30-year-old female with an eating disorder. What abnormalities are present, and what is the likeliest explanation? Please add your comments...





