Friday, 19 October 2012

ECG of the Week - 22nd October 2012

This week's ECG is the second part of our story. 
This ECG is from the same 33 year old male we looked at last week (First ECG and Interpretation here) and this ECG was taken 7 minutes after last week's ECG.

Click to enlarge

1 comment:

  1. No sign of a Delta wave here. Both the P-R interval and the QRS interval are within normal limits. It's doubtful that he underwent an ablation of his accessory pathway (AP) in only 7 minutes, so I'm going to assume that he has intermittent ventricular preexciation.

    There is a slightly taller upright T-wave in V1 than there is in lead V6 (the so-called "T-V1 taller than T-V6 pattern". Dr. Marriott referred to this as a "loss of precordial T-wave balance". According to Dr. Amal Mattu, this would not qualify as a New Taller T-wave in Lead V1 (NTTV1) because the previous ECG showed ventricular preexciation with secondary T-wave changes in V1.

    Possible pathological Q-waves noted in the lateral leads.