Dear Future ECG Rock Star,

In this book, you will find several electrocardiogram (ECG) cases taken
from our award-winning online ECG Mastery program.
If you are completely new to ECG, you might not be able to answer
these questions right now. However, after going through the ECG
Mastery program, you will be able to diagnose all of them after just a
couple of training sessions.

How to get the most out of this Little Black Book

1. Review the ECG and answer the multiple-choice question on
your own.
2. Scan the QR code using your phone or other device (or just click
the associated link) and review the solution video. An expert with
decades of teaching and clinical experience will walk you through
the answer. It‘s almost as if the expert were standing next to you,
scribbling on the ECG. It’s as close as it gets to a real-life mentor.

The Little Black Book of 3. To review any topic in more detail, scan the other QR code or click

ECG Secrets
the link associated with that question to watch a video from the
ECG lesson content.

We wish you a great learning experience!

Yours,
Franz Wiesbauer & the Medmastery team
Can you master the 15 ECG cases hidden inside?
(Expert video answer solutions included via QR code)
 ECG 1 ECG 2

V1 V2 V3 V4 V5 V6

V1 V2 V3 V4 V5 V6

What is the correct diagnosis? What is the correct diagnosis?

A Left ventricular hypertrophy D No hypertrophy A Left ventricular hypertrophy D No hypertrophy

B Right ventricular hypertrophy E Bundle branch block B Right ventricular hypertrophy E Ischemia

C Biventricular hypertrophy C Biventricular hypertrophy

Here is the solution video: In this short video, Here is the solution video: Watch this video to learn
https://bit.ly/LBBsolution-1 you will learn how to reach https://bit.ly/LBBsolution-2 more about the diagnostic
the correct diagnosis for criteria for this disease:
these patients quickly:
https://bit.ly/LBBdiagnosis-2

https://bit.ly/LBBdiagnosis-1
 ECG 3 ECG 4

I II III I II III R L F
V1 V2 V3 V4 V5 V6

V1 V2 V3 V1 V2 V3 V4 V5 V6

Which of the following options apply to this ECG and where are they located?
Which of these statements is correct?
Select all that apply.

A This patient has an old infarct of the lateral wall. D This patient has an anterolateral infarct. A Old infarct of the inferior wall D Acute ischemia of the anterior wall

B There are Q waves in V1 and V2. E None of the above statements are correct. B Old infarct of the anterior wall E Acute ischemia of the lateral wall

C This patient has an anteroseptal infarct. C Old infarct of the lateral wall F Acute ischemia of the inferior wall

Here is the solution video: This video will teach you Here is the solution video:
https://bit.ly/LBBsolution-3 some important anatomy https://bit.ly/LBBsolution-4
hacks:
https://bit.ly/LBBdiagnosis-3
 ECG 5

II

III

Which of these statements is correct?

Here is the solution video:

A This is a case of tachycardia and atrial fibrillation. https://bit.ly/LBBsolution-5

B This is a case of bradycardia and atrial flutter.

C This is a case of ventricular tachycardia.

D This is sinus rhythm.

E None of the above statements are correct.

 ECG 6 ECG 7

V1 V2 V3 V4 V5 V6

V1 V2 V3 V4 V5 V6

Which of these statement is correct? This patient has an acute problem.

Which leads is it visible in?
The negative T waves in V1 to V4 are This patient has left ventricular hypertrophy.
A D The right ventricle seems to be okay.
due to coronary insufficiency.
A V1–­V6 D V2–V5
The patient has an old infarct of the E This is a case of biventricular hypertrophy.
B B
anterior wall. V1­–V5 E V3­–V5

That’s a case of Wolff-Parkinson-White

C C V2–V6
(WPW) syndrome.

Here is the solution video: Here is the solution video: If you want to learn more,
https://bit.ly/LBBsolution-6 https://bit.ly/LBBsolution-7 please watch this video:
https://bit.ly/LBBdiagnosis-7
 before afterwards
ECG 8

V5 V5

V6 V6

V7 V7

Which of these statement is correct?

Here is the solution video: Watch this video and learn
https://bit.ly/LBBsolution-8 more about the disease:

A On the initial ECG (before), the patient was in atrial flutter.

https://bit.ly/LBBdiagnosis-8

B This patient has an additional bundle between the atria and the ventricles.

C This is a case of Lown-Ganong-Levine (LGL) syndrome.

D This is a case of WPW syndrome.

E On the initial ECG (before), the patient was in atrial flutter.

F On the initial ECG (before), the patient presented with a reentry tachycardia.
 ECG 9

What is the problem here?

Here is the solution video: Watch this video and learn
https://bit.ly/LBBsolution-9
more about this disease:
https://bit.ly/LBBdiagnosis-9

QRS #5 looks different than the others.

What type of beat is it?
 ECG 10 ECG 11

II

V1 V2 V3 V4 V5 V6 V7

III

V5

Pathologic Q waves can be found in which leads? Where are these ECG changes most typically seen?
Select the best option.

A V1–­V5 D V2–­V5
A Ehlers-Danlos syndrome D Arterial hypertension
B V1­–V4 E V2­–V6
B Addison disease E WPW syndrome
C V2–V4
C Hypothyroidism

Here is the solution video: Here is the solution video:

https://bit.ly/LBBsolution-10 https://bit.ly/LBBsolution-11
 ECG 12 I V1

II
V2

III

V3

aVR V4

V5
aVL

aVF V6

What is the rhythm?

This patient has bundle branch block. Is it left bundle branch

block (LBBB) or right bundle branch block (RBBB)?

Here is the solution video:

https://bit.ly/LBBsolution-12

There is an acute problem. What is it and in which leads

does it occur?
 ECG 13

V1

V2

V3

Is this a case of atrial or ventricular tachycardia?

Here is the solution video:

https://bit.ly/LBBsolution-13
 ECG 14

What is the correct answer?

A Atrial flutter

B Atrial fibrillation

C Sinus rhythm

D None of the above answers

Here is the solution video:

https://bit.ly/LBBsolution-14
 ECG 15
What now?
If you enjoyed these cases, we have a lot more within our
ECG Mastery Program.
I
Medmastery‘s ECG Mastery Program includes interactive online video
lessons, practice cases, downloadable workbooks, reference sheets,
II and more. With three different levels modeled after a karate belt system,
you can progress from novice up to expert or pick and choose your own
learning path.

III 1. ECG Mastery: Yellow Belt

Our foundational course covers what you need to know to
confidently read 80% of ECGs.

aVR 2. ECG Mastery: Blue Belt

An intermediate-level course focused on building your ECG skills
in advanced rhythm analysis.
aVL
3. ECG Mastery: Black Belt Workshop
Advanced level case-based workshop with 60+ cases to practice
your ECG interpretation skills.
aVF
We hope to see you in class progressing to ECG mastery!

What type of tachycardia is this?

Understand the ECG Don’t waste your time on
instead of memorizing the complex theory—only learn
patterns. what is really relevant.

Help more patients by making A case-based approach that

What simple diagnostic measures can you take in order
better decisions faster. makes learning effortless and fun.
to diagnose the underlying rhythm problem?

We’ll turn you into an expert Diagnose over 95% of cases

step by step. without the help of a more senior
colleague.

Here is the solution video: Reach your full potential.

https://bit.ly/LBBsolution-15
Become an expert by learning the most important clinical skills at www.medmastery.com.