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WardSpace
Specialties

Cardiology

Chest pain, heart failure, arrhythmia, and the ECG that explains them.

Presentations

Chest painDyspneaSyncopePalpitationsPeripheral edema

Ward cases

Collapse in the supermarket

An 82-year-old collapses without warning, wakes within seconds, and insists on going home.

Chest pain and a rising troponin

A 54-year-old presents at 3am with pain that woke him, and the first troponin is only slightly up.

Four kilograms heavier

A 74-year-old with a known weak heart arrives breathless, swollen, and sure it is 'just age'.

Interpretation drills

ECGInferior STEMIECGAnterior STEMIECGAtrial fibrillationECGVentricular tachycardiaECGComplete heart blockCompareRBBB vs LBBBCompareSTEMI vs pericarditisCompareHFrEF vs HFpEF

Illness scripts

Heart failure with reduced ejection fractionHeart failure with preserved ejection fraction

Tools & pathways

CalculatorQTc (Bazett and Fridericia)AlgorithmAtrial fibrillation, acuteAlgorithmSyncope

Medications

drugLoop diureticsdrugACE inhibitors / ARBsdrugBeta blockersdrugAmiodarone

From the library

Twelve-lead ECG of atrial fibrillation: irregularly irregular narrow complexes with no P waves
Atrial fibrillation on a recorded 12-lead: the RR intervals never repeat, and the baseline between complexes carries fibrillatory undulation rather than P waves.CardioNetworks ECGpedia · CC BY-SA 3.0 · source
Twelve-lead ECG with posterior and right-sided leads showing inferior ST elevation with reciprocal change
Inferior STEMI on paper: ST elevation in II, III and aVF with reciprocal depression in I and aVL. The extra leads (V4R, V7, V8) were recorded to look for right ventricular and posterior extension.Andrewmeyerson, via Wikimedia Commons · CC BY-SA 4.0 · source
Portable chest radiograph showing interstitial pulmonary oedema with cardiomegaly and monitoring leads
Interstitial oedema: cardiomegaly, upper lobe diversion, perihilar haze and septal lines, with monitoring leads across the chest. The congested lungs of decompensated heart failure.Hellerhoff, via Wikimedia Commons · CC BY-SA 3.0 · source

Atrial fibrillation, rendered live

Irregularly irregular with no organized P waves, generated by the same engine as the ECG module.