These tracings are from a elderly man who presented with a acute myocardial infarct (AMI) in 1982. This was when I began to collecting interesting or puzzling or intriguing ECGs. This was also the era of "roll your own ECG"
The patient is a 24 year old Sri Lankan man with a 4 day history of increasing dyspnoea, with exercise tolerance limited to 200 metres. He has not had a cough or chest pain or fever. Four weeks ago he had a self-limited influenzal type illness.
This is the first of three cases with a theme of T wave changes...
Vladimir is a 77 year old man with a history of hypertension and mitral valve replacement that requires anticoagulation with warfarin.