2025 ECG Competition Answers (Part 1/3)

Annual UMEM Residency ECG Competition by Dr. Amal Mattu


This week we review the answers to questions 1-5 from the 13th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions yourself before watching the video or clicking the answer boxes in the summary section to reveal the answers and take home points!

Instructions from Dr. Mattu: In some of the following questions, I’ll ask you for a FULL ECG interpretation/diagnosis. Here’s what I am asking for:

SAMPLE QUESTION: A 58 yo M presents with chest pain and the ECG noted below. What is the FULL ECG diagnosis? (5 points)


 

1. A 36 yo W presents after an episode of palpitations and near-syncope. Her BP is 115/60. She is awake and alert. What is the FULL ECG diagnosis? (3 points)


 

2. A 75 yo M presents complaining of palpitations. BP is 125/75. What is the FULL ECG diagnosis? (3 points)

2025-ECG2

 

3. A 74 yo M presents with weakness. His BP is 82/50. What is the FULL ECG diagnosis? (2 points) What is the best initial treatment? (2 points)

2025-ECG3

 

4. A 67 yo W presents with severe malaise and confusion. BP is 115/50. What is the FULL ECG diagnosis? (2 points)

2025-ECG4

 

5. A 54 yo M presents with episodes of palpitations and near-syncope. What is the FULL ECG diagnosis? (5 points)

2025-ECG5