ECG of the Week - 23rd April 2012 - Interpretation

This weeks ECG is from a 32 yr old male.

Click to enlarge

Rate:

• 66

Rhythm:

• Sinus Rhythm
• Sinus Arrhythmia
• Premature junctional complex (2nd complex)

Axis

• Normal / Inferior (~85 deg)

Intervals:

 

• PR - Normal (~160ms)
• QRS - Normal (80-100ms)
• QT - 320-360ms 

Segments:

• ST Elevation II, V2-5, ? aVF

Additional:

• Voltage Criteria LVH (S wave V1 + R wave V5 or V6 > 35mm)
• Small Q waves II, III, aVF, V4-6

Interpretation:

• LVH - secondary ST segment changes

LVH in Young Patients

• Athletic Heart
• Cardiomyopathy
• Valvular Disease
• Congential abnormalities

 

References / Further Reading

Life in the Fast Lane

• Left Ventricular Hypertrophy here
• Dilated Cardiomyopathy here
• Hypertrophic Cardiomyopathy here

Journals

• Athlete's Heart - Fagard R. Athlete's Heart. Heart. 2003 December; 89(12): 1455–1461. - Full text here
• Left ventricular hypertrophy in athletes - Rawlins J, Bhan A, Sharma S. Left ventricular hypertrophy in athletes.Eur J Echocardiogr (2009) 10 (3): 350-356. - Full text here

Textbook

 

• Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.