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Example24

1,131 bytes added, 13:11, 5 November 2008
New page: thumb| The ECG * Following the 7+2 steps: **Rhythm ***'''The ECG shows a regular rhythm. Every P wave is followed by a QRS complex. P waves are positive in I and ...
[[Image:DVA0011.jpg|thumb| The ECG]]




* Following the 7+2 steps:
**Rhythm
***'''The ECG shows a regular rhythm. Every P wave is followed by a QRS complex. P waves are positive in I and AVF. Normal sinus rhythm'''
**Heart rate
***'''about 80bpm'''
**Conduction (PQ,QRS,QT)
***'''In lead II: PQ: 210ms QRS: 90ms QT: 380ms QTc: 450ms
**Heartaxis
***'''QRS positive in I and AVF: normal heart axis'''
**P wave morphology
***'''Broad based P waves'''
**QRS morphology
***'''Normal QRS complexes'''
**ST morphology
***'''Typical ST elevation in V1, V2 and V3, with a coved type morphology in V1.'''
**Compare with the old ECG (not available, so skip this step)
**Conclusion?


'''Typical Brugada syndrome ST segments in right precordial ECG leads (on spot diagnosis) aka 'type-1 Brugada ECG' with 1st degree AV block and broad P-waves. Atrial/AV/ventricular conduction delay is commonly seen in Brugada syndrome, in this patient there is atrial and AV conduction delay. Brugada syndrome is associated with malignant arrhythmias (VT/VF) and sudden death although many patients may not experience any symptoms throughout their life.'''

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