Friday, 15 January 2016

ECG of the Week - 11th January 2015 - Interpretation

The following ECG is from an 88 yr old male with a known history of ischaemic cardiomyopathy. He presented complaining of palpitations and dizziness for the preceding hour.


Click to enlarge

Rate:

  • 196 bpm
Rhythm:
  • Regular
Axis:

  • Right Axis Deviation
Intervals:
  • QRS - Prolonged (140ms)
Segments:


  • Discordant ST segment change
Additional:

  • Positive precordial concordance
  • Absence of typical BBB pattern

Interpretation:

  • Ventricular Tachycardia
    • Patient features
      • Elderly
      • Known ischaemic cardiomyopathy
  • ECG Features
    • Broad complex tachycardia
    • Absent typical BBB morphology
    • Precordial concordance


What happened ?

The patient underwent successful DC cardioversion and was admitted under cardiology team. Find out what happened to this patient over the next 2 weeks.

References / Further Reading

Life in the Fast Lane
Textbook
  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.