Sunday, 10 October 2010

60 y/o male, c/o dizziness, nausea & vomiting

PMH: Of similar episodes under investigation by cardiologist, no other relevant medical information.

No observations provided on this p/t, this is just an exercise in 12-lead ECG interpretation…

Here’s a little help from me, please provide your ECG analysis. 

Rate:
Atrial: Unable to determine. 
Ventricular: 90-160 bpm.

Waves: P waves present: Difficult to identify, best seen in V2-3, appearance is fibrillation pattern, P waves NOT consistent, no relation to QRS, no Q waves present that are pathological, T waves are present with no significant abnormalities.

Intervals: P-R consistent, QRS: 0.16 secs, appearance: rSR’ in V1-2, consistent; QT interval 0.40 secs.

Axis: Quadrant:??? Please give your analysis…J Degrees -80 (aVF and Lead II mostly isoelectic slightly positive.

Hypertrophy: No atrial or ventricular detected.

Other info: Q waves none significant for AMI, no significant elevation, ST depression in V2, no possible drug effects noted. 


69 y/o male, 12-Lead ECG, done under routine medical examination

PMH: Angina, Gastric ulcer, no other relevant info, no information on p/t’s medications… This is just an exercise in 12-lead ECG interpretation…

Here’s a little help from me, please provide your ECG analysis & interpretation. 

Rate: 
Atrial: Unable to determine, irregular 
Ventricular: 75-150, irregular.

Waves: Difficult to identify P waves, but can be identified in aVF, other appearance is fibrillation pattern, not consistent… Relation to QRS – None… Q waves NOT present… T waves present “Morpholology – Fused with QRS.

Intervals: P-R consistent, QRS: 0.16 secs, appearance: consistent, wide, positive RS in V6, negative QS in V1… QT interval: 0.40.

Axis: QuadrantLAD… Degrees -40 (aVF and Lead II mostly isoelectic slightly negative.

Hypertrophy: No atrial or ventricular detected.

Other info: Q waves none significant for AMI… I see some ST displacement: ST elevation II, III, aVF, V1-5… ST depression 1, aVL, V6, no possible drug effects noted.


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