Case 3: Difference between revisions

Case 3 (view source)

882 bytes removed , 11 November 2008

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+{{Case|
+|previouspage= Case 2
+|previousname= Case 2
+|nextpage= Case 4
+|nextname= Case 4}}
 [[Image:KJcasus9.jpg|thumb| The ECG]]
-* Following the 7+2 steps:
-**Rhythm
-***'''The ECG shows a regular rhythm with normal P waves (positive in I, III and AVF, negative in AVR), followed by QRS complexes. Sinusrhythm'''
-**Heart rate
-***'''78 bpm'''
-**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}}
+Try to interprete this ECG using the 7+2 step method
+[[Answer Case 3|Answer]]