tag:blogger.com,1999:blog-1199060416202745408.post5116229201626185020..comments2024-03-19T13:40:12.355+08:00Comments on ECG of the Week: ECG of the Week - 28th January 2013Anonymoushttp://www.blogger.com/profile/09026589956407176781noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-1199060416202745408.post-81110444524547835132013-01-25T22:51:10.834+08:002013-01-25T22:51:10.834+08:00Rate: 65bpm
Regularity: regular w/o ectopy
P-waves...Rate: 65bpm<br />Regularity: regular w/o ectopy<br />P-waves: sinus, 1:1 association<br />PRi: normal<br />QRSd: ~100ms<br /><br />Rhythm: normal sinus rhythm<br /><br />Axis: normal, probably ~45deg<br />QTi/QTc: borderline<br />ST/T-waves: no elevation, however, deeply symmetric T-wave inversion in the precordials and flat ST-segments with terminal T-wave inversion in I and aVL.<br /><br />DDx: normal sinus rhythm with Wellens T-waves from a recently reperfused LAD; also on the list for me is CNS insult; don't know that I'd include BTWI in a 45yo M (or at least not in the field).<br /><br />As always Jason has a pretty comprehensive list to choose from after you've worked thru the #1 and #2 lethal ones.Christopherhttps://www.blogger.com/profile/11415988855392944633noreply@blogger.comtag:blogger.com,1999:blog-1199060416202745408.post-61958727349123715782013-01-25T20:32:14.067+08:002013-01-25T20:32:14.067+08:00The list of differential diagnoses would include: ...The list of differential diagnoses would include: <br />1. Myocardial ischemia/Wellens' warning<br />2. Benign T-wave inversion / Early repolarization<br />3. CNS disease<br />4. Myocarditis<br />5. Electrolyte disturbance<br />6. Subacute/old pericarditis <br />7. Myocardial contusion<br />8. Myocardial infarction <br />9. Drug effect<br />Jason E. Roediger, CCThttps://www.blogger.com/profile/12375233408457825429noreply@blogger.com