Symptom-Based ECG Approach

ECG interpretation organized by presenting symptom: chest pain, dyspnea/SOB, syncope, and palpitations. Key findings, likelihood ratios, and critical diagnoses for each presentation.

Fundamentals

When to use this protocol

Chest painDyspneaShortness of breathSyncopePalpitations

Symptom-driven ECG interpretation helps prioritize critical diagnoses. Always obtain an ECG within 10 minutes for chest pain. A 12-lead ECG is recommended in all patients presenting with syncope.

Last reviewed: February 19, 2026by SymptomDx Medical Team

Symptom-Based ECG Approach

Overview

Chest Pain

Dyspnea / Shortness of Breath

Syncope

Palpitations

Symptom Summary Table

Teaching Points

References

Symptom-Based ECG Approach

Overview

Chest Pain

Dyspnea / Shortness of Breath

Syncope

Palpitations

Symptom Summary Table

Teaching Points

References