Answers

This case report is kindly provided by Jonas de Jong and is part of the AMC case reports Previous Case: Return to list of cases | Next Case: AMC case 2

Questions

1. This ECG was made shortly after this patient had been resuscitated. The patient was normothermic. What arrhythmia likely initiated the syncope?
2. What technical abnormality is seen?

Answers

1. This ECG shows a severely prolonged QTc interval, which makes the patient prone to Torsade de Pointes and potential ventricular fibrillation
2. Lead I has a negative P wave and Negative QRS complex. The arm leads were interchanged while recording this ECG.
3. The R in v1 + the S in v5 (equaling 35mm or greater) are indicative of left ventricular hypertrophy