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- Sinus Rhythm
- Normal (-14 deg)
- PR - Normal (~160ms)
- QRS - Normal (80ms)
- QT - 440-480ms (QTc Bazette ~ 420 ms)
- Deep T wave inversion V2-6, I, II, III, aVF
- Positive T wave aVR
- Positive deflection terminal portion T waves - ? TU fusion best seen precordial leads
In clinical setting of severe headache and widespread T wave changes this is concerning for raised ICP, in this case ? subarachnoid haemorrhage ? intra-cranial bleed
The patient had a normal CT scan and was transferred to a tertiary center for further investigation and management of other co-morbidities.
References / Further Reading
Life in the Fast Lane
- ECG changes in Raised ICP here
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.