EKG practice test

Woke up with central oppressive chest pain which are increase with deep inspiration and when lying on the back.

Intense chest pain, clammy skin.

Oppressive left lateral chest pain for 5 hours and impression sleeping left arm. BP 177/95 mmHg. Nitroglycerin spray has some effect on the pain.

This patient has diabetes, has an history of previous myocardial infarction and complains of dyspnea and chills. Temperature 39°C

Dement patient with chest pain for 6 hours. The pain disapeared after nitroglycerin spray.

Former smoker with hypertension. He woke up this morning with a tingling sensation in both arms. No chest pain. BP 210/93 mmHg. Symptoms disappear completely after nitro spray.

Smoker with hypertension and high cholesterol. Shortness of breath over the last few weeks, recurrent stabbing retrosternal chest pain.

3 month with mild shortness of breath and intermittent chest pain.

CABG operated in 2000. Complains of shortness of breath and cough.

Active smoker with a family history of heart disease. Onset of chest pain an hour ago.

Active smoker. After this patient woke up, suddent onset of severe chest pain on the left lateral region of the chest and between the shoulder blades.

Young patient with one hour of palpitation, mild chest oppression and discrete shortness of breath and dizziness. Has had several similar episodes among the last few years.

Smoker. Two episodes with typical chest pain. The patient goes to his GP and receives nitroglycerin spray with some effect.

Previously healthy woman with a presyncope. Had a “unquiet heart” over the last 50 years but has never been properly investigated.

30 minutes with typical chest pain.

Known with diabetes, ischemic heart disease and COPD. Increasing shortness of breath. Known with daily intermittent chest pain.

CABG 15 years ago. Transcatheter aortic valve implantation 1 month ago. Severe chest pain and shortness of breath for one hour, palor and cold sweats. BP 160/90 mmHg.

Previously healthy. 1 ½ hours with strong, oppressive retorsternal chest pain and dyspnea. Good effect of nitroglycerin given prehospitaly. Pale and clammy skin. Has usually a normal ECG.

Patients with diarrhea, who suddenly became dizzy and got shortness of breath. BP 108/54 mmHg

Previously healthy patient with shortness of breath over a few days.

History of prior CABG. Known with left bundle branch block. 3 days with shortness of breath, cough and fever. Normal BP.

Previously healthy patient. Chest pain for several days radiating to the neck and left arm. Distinct worsening for 30 minutes.

Former smoker with hypertension and atrial fibrillation. Cardiac arrest with VF. CPR 3 minutes. Defibrillated to this ECG.

Former smoker patient with a family history of cardiovascular disease. Over the last few days, he had intermittent pricking sensation in the chest. Marked deterioration one hour ago with the pain radiating now to the neck.

This patient had nausea when he woke up this morning but he has now severe chest pain which started an hour ago.

On the way to work: nausea and severe chest pain.

CABG in 2003. Chest pain since yesterday. The pain is aggravating after he had been working with a showel in the snow.

Previously healthy patient. Intermittent chest pain worsening with deep inspiration.

Known with ischemic heart disease, atrial fibrillation and pacemaker. This afternoon onset of malaise, coughing, chest pain localized in the left side and neck pain. A bit of dyspnea as well.

Known to have hypertension and being a former smoker. Acute onset of oppressive chest pain that radiates to his jaw.