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# This ECG shows a severely prolonged QTc interval, which makes the patient prone to [[Torsade de Pointes]] and potential [[VF|ventricular fibrillation]] | # This ECG shows a severely prolonged QTc interval, which makes the patient prone to [[Torsade de Pointes]] and potential [[VF|ventricular fibrillation]] | ||
# Lead I has a negative P wave and Negative QRS complex. The arm leads were interchanged while recording this ECG. | # Lead I has a negative P wave and Negative QRS complex. The arm leads were interchanged while recording this ECG. | ||
# The R in v1 + the S in v5 are indicative of left ventricular hypertrophy | # The R in v1 + the S in v5 (equaling 35mm or greater) are indicative of left ventricular hypertrophy | ||
Revision as of 01:44, 20 May 2010
This case report is kindly provided by Jonas de Jong and is part of the AMC case reports
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Questions
- This ECG was made shortly after this patient had been resuscitated. The patient was normothermic. What arrhythmia likely initiated the syncope?
- What technical abnormality is seen?
Answers
- This ECG shows a severely prolonged QTc interval, which makes the patient prone to Torsade de Pointes and potential ventricular fibrillation
- Lead I has a negative P wave and Negative QRS complex. The arm leads were interchanged while recording this ECG.
- The R in v1 + the S in v5 (equaling 35mm or greater) are indicative of left ventricular hypertrophy