Sinus rhythm with ventricular preexcitation; Wolff-Parkinson-White (W-P-W) syndrome. Localization of the accessory pathway (AP) is probably in the left lateral (LL) or left anterolateral (LAL) free wall.
Agree. looks like WPW, with short PR and delta wave. High R waves in precordial leads with T wave inversion also inferiorly wld suggest right ventricular hypertrophy, Raf
Sinus rhythm with ventricular preexcitation; Wolff-Parkinson-White (W-P-W) syndrome. Localization of the accessory pathway (AP) is probably in the left lateral (LL) or left anterolateral (LAL) free wall.
ReplyDeleteAgree. looks like WPW, with short PR and delta wave. High R waves in precordial leads with T wave inversion also inferiorly wld suggest right ventricular hypertrophy, Raf
ReplyDeleteAgree with everything said before.
ReplyDeleteRate: ~70 bpm
Regularity: Regular
P-waves: Sinus
PRi: Short
QRS: Widening of intrinsicoid deflection
Rhythm: NSR
12-Lead:
- Short PR
- Slurred intrinsicoid deflection consistent with a delta wave
- Tall R-waves in V1
- QTc seems short-normal
- Pseudo Q-wave in aVL
...and...
- Secondary repolarization abnormalities
or
- Primary ST-elevation aVL/aVR
- With ST-depression II/III/aVF/V4/V5
DDx: NSR w/ WPW (left sided), with some potential for acute changes from LWMI worth obtaining serial ECGs to rule out.