tag:blogger.com,1999:blog-1199060416202745408.post4429207755739381364..comments2024-03-19T13:40:12.355+08:00Comments on ECG of the Week: ECG of the Week - 7th January 2013Anonymoushttp://www.blogger.com/profile/09026589956407176781noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-1199060416202745408.post-6419531285169696032013-01-05T12:02:41.518+08:002013-01-05T12:02:41.518+08:00PS.
South East Asia represent!PS. <br />South East Asia represent!Rahul Goswamihttps://www.blogger.com/profile/07390514179215061329noreply@blogger.comtag:blogger.com,1999:blog-1199060416202745408.post-85287252175608634432013-01-05T12:01:49.927+08:002013-01-05T12:01:49.927+08:00Doesn't need a history this one unfortunately....Doesn't need a history this one unfortunately.<br />I concur that its likely Mr Wellens paying a visit.<br />Especially with the high lateral ischaemia going on in I and aVL.<br />Rahul Goswamihttps://www.blogger.com/profile/07390514179215061329noreply@blogger.comtag:blogger.com,1999:blog-1199060416202745408.post-44153649337179801042013-01-05T01:27:53.043+08:002013-01-05T01:27:53.043+08:00Sebastian,
Measured against the TP segment there ...Sebastian,<br /><br />Measured against the TP segment there is no ST-e in III, measured against the PR segment there is maybe a sliver of ST-e, but nothing I'd call a STEMI over. There is some wander in the baseline likely related to the patient's respiratory rate.Christopherhttps://www.blogger.com/profile/11415988855392944633noreply@blogger.comtag:blogger.com,1999:blog-1199060416202745408.post-10383055592427070702013-01-05T00:17:42.199+08:002013-01-05T00:17:42.199+08:00Isn't there STE in III with reciprocal depress...Isn't there STE in III with reciprocal depression in I and aVL and therefore STEMI?Sebastianhttps://www.blogger.com/profile/17580082381519092396noreply@blogger.comtag:blogger.com,1999:blog-1199060416202745408.post-73383815665296420132013-01-04T23:28:22.135+08:002013-01-04T23:28:22.135+08:00Guess I have to set my alarm earlier now ;)
Rate:...Guess I have to set my alarm earlier now ;)<br /><br />Rate: ~65 bpm<br />Regularity: regular w/o ectopy<br />P-waves: sinus<br />PRi: 180ms, 1:1 association<br />QRSd: 90-100ms<br /><br />Rhythm: normal sinus rhythm<br /><br />Axis: ~60 deg frontal, late R-wave transition.<br />QTc: WNL<br />Q-waves: visible in III, but appear to have respiratory variation<br />ST/T-waves: 1mm ST-e in V2-V3, minimal ST-e in V1, biphasic T-waves in V2-V4 consistent with Type I Wellen's. T-wave inversions in the high laterals.<br /><br />Given the presence of Wellen's Warning, I'd be concerned about a critical proximal LAD stenosis possibly with recent reperfusion. Patient should receive emergent angiography.Christopherhttps://www.blogger.com/profile/11415988855392944633noreply@blogger.comtag:blogger.com,1999:blog-1199060416202745408.post-16325290631550661492013-01-04T09:21:22.698+08:002013-01-04T09:21:22.698+08:00Hi Jason,
I agree with your 'warning'.
I...Hi Jason,<br /><br />I agree with your 'warning'.<br /><br />I'm starting to think this is turning into a competition between you and Christopher about who can comment first :-)<br />I did just google the time difference between the USA and Australia to make sure no-one is setting their alarms for the middle of the night to claim first comment honours.<br />Anonymoushttps://www.blogger.com/profile/09026589956407176781noreply@blogger.comtag:blogger.com,1999:blog-1199060416202745408.post-71681140009699806752013-01-04T08:38:27.165+08:002013-01-04T08:38:27.165+08:00An unprecedented two consecutive responses before ...An unprecedented two consecutive responses before Christopher! I'm on a roll! "Wellens' warning" would definitely be on the short list of differentials.Jason E. Roediger, CCThttps://www.blogger.com/profile/12375233408457825429noreply@blogger.com