Friday, 26 April 2013

ECG of the Week - 29th April 2013

This ECG is from a 47 year old female presenting with palpitations of 3 hours duration.



Click to enlarge


I'm coming up to my ACEM Fellowship exam later on this year and as part of my exam practice I'm trying to consider the ECG of the Week in a VAQ format.

With this in mind I'll be adding an exam style question with each ECG of the Week from now on for people to consider. I won't be directly answering these questions on the blog but hope they give a different spin on how our reader's can use the blog and ECG's. 
For those of you not coming up to exams it might just be a bit of fun :-) 

Question:

47 year old female presents complaining of palpitations onset 3 hours age. She denies chest pain and is not short of breath. She has no prior medical history. Blood pressure is 120/75.

Her ECG is above.

a) Describe and interpret her ECG (30%)
b) Outline your management options (70%)