Wednesday, 27 June 2012

ECG of the Week - 25th June 2012 - Interpretation

No clinical information on this ECG.





Click to enlarge
Rate:
  • 90
Rhythm:
  • Regular
  • Sinus Rhythm
Axis:
  • Normal (+60 deg)
Intervals:
  • PR - Prolonged (~340ms)
  • QRS - Normal (80ms)
  • QT - 320ms (QTc Bazette ~ 390 ms)
Additional:
  • High amplitude & prolonged p waves in leads II, III, aVF
  • Biphasic p waves in V1-2

Interpretation:
  • 1st Degree AV block
  • Biatrial enlargement




 References / Further Reading



Life in the Fast Lane

  • P wave here
  • Biatrial Enlargement here
  • 1st Degree AV Block here
Textbook
  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.