Wednesday, 5 September 2018

ECG of the Week - 3rd September 2018 - Interpretation

The following ECG is from a 69 year old male who presented to the Emergency Department after an episode of abnormal limb movement.





Click to enlarge


Rate:

  • 66 bpm
Rhythm:
  • Regular
  • Sinus Rhythm
Axis:
  • Normal
Intervals:
  • PR - Normal (~200ms)
  • QRS - Normal (105ms)
  • QT - 400ms
Additional:

  • Dominant R wave leads V2-3
  • T wave inversion leads I, aVL, V2-6
  • ST Depression leads I, II
  • ST elevation V2-3

What happened ?

The patient's had known findings apical hypertrophic cardiomyopathy, sometimes referred to as Yamaguchi Syndrome. He was investigated for a potential neurological cause of abnormal limb movement and discharged for ongoing out-patient follow-up.

You can read more about apical hypertrophic cardiomyopathy in the links below:


References / Further Reading
Textbook
  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.

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