Cardiovascular disease management is a hallmark skill in critical care medicine, and the most common data source includes the classic electrocardiogram (ECG); as such, ECG findings are frequently used in this chapter. Critical care board examinations frequently require the examinee to be able to recognize various key illnesses, sometimes with limited information; in order to solve such problem, gleaning an appropriate differential diagnosis from the question stem is needed in order to generate the correct solution. Reflecting this concept, images provided on an exam may be of limited diagnostic value and of low quality. This chapter aims to provide the reader with an experience in this realm that would be useful for success on the examination and at the bedside.