Check out the comments from our original post here.
|Click to enlarge|
- ~42 bpm
- Complexes #1 & 2 are premature junctional complexes
- Remainder of ECG sinus rhythm
- Right axis deviation
- PR - Normal (~160ms)
- QRS - Normal (100ms)
- QT - 400ms
- ST elevation leads aVF, V2, V3
- Biphasic T waves leads V2-3
- Precordial U waves also seen in aVF
- RS complex in majority of precordial leads but with appropriate R wave progression
- Non-specific changes
- Likely normal for young fit & healthy male
What happened ?
Given the patients benign history and a normal clinical exam he was discharged from the Emergency Department. The patient was advised to follow-up with his GP and have an out-patient echocardiogram to exclude structural abnormality.
Unfortunately the patient did not seek any further follow-up and never had an echo so I can't tell you what it showed. This does highlight the fact that many patients do not seek follow-up as advised once they leave the Emergency Department and should remind us of the need to communicate with our patients what we have found, what should happen next and why.