Wednesday, 19 December 2018

ECG of the Week - 17th December 2018 - Interpretation

The following ECG is from a 55 yr old female who presented complaining of chest  pain and dysponea.



Click to enlarge
Rate:
  • 72 bpm
Rhythm: 
  • Regular 
  • Sinus Rhythm 

Axis:
  • RAD
Intervals:
  • PR - Normal (~160ms)
  • QRS - Normal (60ms)
 Additional:
  • Complete lead inversion leads I & aVL
    • P / QRS / T inversion
Interpretation:
  • Lead reversal LA / RA
    • Results in:
      • Inversion of lead I
      • Switch of aVR & aVL
      • Switch of II & III
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.