A weekly ECG / EKG review blog looking at some interesting ECG's from the world of Emergency Medicine.
Sinus rhythm with ventricular preexcitation; Wolff-Parkinson-White (W-P-W) syndrome. Localization of the accessory pathway (AP) is probably in the left lateral (LL) or left anterolateral (LAL) free wall.
Agree. looks like WPW, with short PR and delta wave. High R waves in precordial leads with T wave inversion also inferiorly wld suggest right ventricular hypertrophy, Raf
Agree with everything said before.Rate: ~70 bpmRegularity: RegularP-waves: SinusPRi: ShortQRS: Widening of intrinsicoid deflectionRhythm: NSR12-Lead:- Short PR- Slurred intrinsicoid deflection consistent with a delta wave- Tall R-waves in V1- QTc seems short-normal- Pseudo Q-wave in aVL...and...- Secondary repolarization abnormalitiesor- Primary ST-elevation aVL/aVR- With ST-depression II/III/aVF/V4/V5DDx: NSR w/ WPW (left sided), with some potential for acute changes from LWMI worth obtaining serial ECGs to rule out.