Friday, 8 March 2013

ECG of the Week - 11th March 2013

This week's ECG is from a 57 year old female.

I don't have any presenting complaints for this case but it is likely she would complain of weakness.



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2 comments:

  1. Christopher9 March 2013 at 00:18

    Rate: 60 bpm
    Regularity: regular with one ectopic beat
    P-waves: sinus
    PRi: 200ms
    QRSd: 100ms
    Axis: normal
    QTi/QTc: prolonged, QU interval present
    ST/T-waves: "wavy" with U-waves visible in multiple leads; changes consistent with hypokalemia

    DDx: sinus bradycardia with a single PVC and hypokalemia present (possibly other electrolyte derangements as well)

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  2. Unknown9 March 2013 at 22:16

    I agree with Christopher with Dx of hypoK and certainly presence of 'U'waves.

    But my another concern with this ECG would be 1mm AVR ST elevation, with reciprocal widespread ST depression. This could potentially be a LMCA disease, proximal LAD lesion or even a 3VD?

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