|
|
| (2 intermediate revisions by the same user not shown) |
| Line 1: |
Line 1: |
| [[Image:KJcasus9.jpg|thumb| The ECG]] | | {{Case| |
| * Following the 7+2 steps:
| | |previouspage= Case 2 |
| **Rhythm
| | |previousname= Case 2 |
| ***'''The ECG shows a regular rhythm with normal P waves (positive in I, III and AVF, negative in AVR), followed by QRS complexes. Sinusrhythm'''
| | |nextpage= Case 4 |
| **Heart rate
| | |nextname= Case 4}} |
| ***'''78 bpm'''
| | [[Image:KJcasus9.jpg|thumb|700px|left| The ECG]] |
| **Conduction (PQ,QRS,QT)
| |
| ***'''PQ: 180ms QRS: 160ms QT: 370ms QTc: 420ms
| |
| **Heartaxis
| |
| ***'''Negative in III, AVF and AVR, positive QRS complexes in I, II and AVL: horizontal heart axis'''
| |
| **P wave morphology
| |
| ***'''The P waves have normal morphology.'''
| |
| **QRS morphology
| |
| ***'''Wide QRS complexes with [[[LBBB|left bundle branch block]]] pattern.'''
| |
| **ST morphology
| |
| ***'''ST elevation in V1-V3, AVR. ST depression in I, II, III, AVF, V4-6. The Sgarbossa criteria for ischemia in LBBB are not met (nog concordant ST deviation, no ST depression V1-V3, nog discordant ST elevation > 5 mm).'''
| |
| **Compare with the old ECG (not available, so skip this step)
| |
| **Conclusion?
| |
| | |
| | |
| '''Sinusrhythm with left bundle branch block, comparison with an old ECG is mandatory to evaluate whether the LBBB is new (a sign of [[myocardial infarction]]) or old.'''
| |
| | |
| {{clr}} | | {{clr}} |
| | Try to interprete this ECG using the 7+2 step method |
| | [[Answer Case 3|Answer]] |
Latest revision as of 15:19, 11 November 2008
Try to interprete this ECG using the 7+2 step method
Answer
