ECG of the Week – 14th October 2013 – Interpretation

By | 16 oktober 2013

This ECG is from a 24 year old male who presents with chest pain.
He is normally fit & well.
Vital signs: BP 134/76 RR 16 Sats 99% RA Temp 36.8
Check out the comments at our original post here.



Click to enlarge



Rate:

  • 90

Rhythm:

  • Regular
  • Sinus Rhythm

Axis:

  • Inferior / Right Axis Deviation (~95 deg)

Intervals:

  • PR – Normal (~170ms)
  • QRS – Normal (80ms)
  • QT – 320ms (QTc Bazette ~ 400 ms)

Segments:

  • PR Depression Leads II, III, aVF, V2
  • PR Elevation possibly in aVR
  • Concave ST Elevation leads II, III, aVF, V2-6 
  • ST Depression aVR

Additional:

  • Downsloping of the T-P segment
    • Spodick’s Sign
    • Best appreciated in leads II, V3-6

Interpretation:

  • Pericarditis

Pericarditis FOAMed

It seems pericarditis is one of the most blogged about ECG findings.
I have no intention of reinventing the wheel, but thought this was a nice ECG to share, so I’m just going to point you to a few discussions / examples / guidelines / reviews on pericarditis, below.

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