Friday 14 September 2012

ECG of the Week - 17th September 2012

I've got no information on this weeks ECG but let's see what we can make of it.



Click to enlarge


4 comments:

  1. Rhythm:
    - Atrial: sinus @ ~90, P-pulmonale (bordering on Himalayan P-waves) consistent with right atrial enlargement
    - Ventricular: 1:1 association with atrial rhythm, 1st degree AVB, narrow complex, albeit focal widening present in some leads, rsR' in V1 consistent w/ incomplete RBBB

    QTc: normal

    ST/T-waves: Concave-upwards ST-elevation appears present in multiple leads (I/II,V2-V6), although relative to the larger Tp-waves present it may not be more than 0.5mm relative to the TP segment. No ST-depression is noted.

    I'm not concerned for STEMI given the large Tp-waves, intact anterior RWP, and absence of reciprocal changes. Appears more consistent with a pulmonary disease pattern.

    Neat tracing!

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  2. Hey,
    Could be pulm as suggested above but fits MFAT criteria as well.
    Also bifascicular block if we're being technical.
    Rahul

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  3. Hi guys,

    Thanks very much for the comments on this very interesting ECG. The interpretation post should go up in a few hours, although I'm not sure if Cam & I have the answers for this one though.
    Hope you are enjoying the blog and please continue to comment :-)

    John

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  4. Thanks Christopher and Rahul, your comments are much appreciated. John and I had fun interpreting this one.
    ....don't worry there's plenty more to get the grey matter going.

    Cheers

    Cameron

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