ECG of the Week - 16th July 2012 - Interpretation

This weeks ECG is from a 66 year old.

Click to enlarge

Rate:

• ~110

Rhythm:

• Regular
• Nil distinct p waves visible

Axis:

• Extreme / NW Axis

Intervals:

• PR - Nil p visible
• QRS - Prolonged (160ms)
• QT - 440ms (QTc Bazette ~ 540 ms)

Segments:

• ST Depression V3

Additional:

• RBBB Morphology
• Prominent T waves
• T Inversion V1-3, aVR

This patient had a serum potassium of 8.0 mmol/L

References / Further Reading

Life in the Fast Lane

• Hyperkalaemia here

Textbook

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