Free ECG teaching from the Academy of Elite Doctors. Almost every ECG finding that gets missed was visible on the trace — it was missed because the reader went straight to the part that matched their expectation and never systematically examined the rest. These articles are built around fixing that.
Coverage runs from a fixed ten-step reading sequence, through rate, rhythm, axis and interval assessment, to ischaemic patterns, conduction disease, complex arrhythmia and the electrolyte and drug effects that mimic both. Particular attention is given to the high-risk patterns that do not meet STEMI criteria and are therefore routinely under-treated — de Winter T waves, the Wellens pattern, posterior infarction and the aVR findings that suggest left main disease.
Written for cardiology trainees, and equally for emergency physicians, intensivists and general physicians who read ECGs under time pressure without a cardiologist beside them. All material is written and clinically reviewed by Dr A M Thirugnanam, MD, MSICP, FSCAI, Ph.D., a senior interventional cardiologist in practice.
Acute myocardial infarction evolves on the ECG in a predictable sequence. Recognising each stage, and the territories most often called wrongly.
A fixed reading order for the ECG, the same sequence used at the bedside, so nothing is missed because you found something else first.