Wednesday, 16 October 2013

ECG of the Week - 14th October 2013 - Interpretation

This ECG is from a 24 year old male who presents with chest pain.
He is normally fit & well.
Vital signs: BP 134/76 RR 16 Sats 99% RA Temp 36.8
Check out the comments at our original post here.

Click to enlarge

  • 90
  • Regular
  • Sinus Rhythm
  • Inferior / Right Axis Deviation (~95 deg)
  • PR - Normal (~170ms)
  • QRS - Normal (80ms)
  • QT - 320ms (QTc Bazette ~ 400 ms)

  • PR Depression Leads II, III, aVF, V2
  • PR Elevation possibly in aVR
  • Concave ST Elevation leads II, III, aVF, V2-6 
  • ST Depression aVR


  • Downsloping of the T-P segment
    • Spodick's Sign
    • Best appreciated in leads II, V3-6


  • Pericarditis

Pericarditis FOAMed

It seems pericarditis is one of the most blogged about ECG findings.
I have no intention of reinventing the wheel, but thought this was a nice ECG to share, so I'm just going to point you to a few discussions / examples / guidelines / reviews on pericarditis, below.

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