ECG of the Week – 12th February 2018 – Interpretation

By | 14 februari 2018

The following ECG is from a 12 yr old male who presented to the Emergency Department following an episode of palpitations and near-syncope. he has no past medical history.



Click to enlarge

Rate:

  • 66 bpm

Rhythm:

  • Regular
  • Sinus rhythm

Axis:

  • Normal

Intervals:

  • PR – Short(~100ms)
  • QRS – Prolonged (120ms)
  • QT – 360ms (QTc Bazette 380 ms)

Additional:

  • T wave inversion leads aVR, aVL, V1
  • Biphasic T wave in lead V2
  • Delta wave best seen in leads I,V2-4
  • Notching initial portion of QRS in leads II, III, aVF

Interpretation:

  • Wolff-Parkinson-White (WPW) Syndrome
  • Pre-excitation evidence by PR shortening, QRS prolongation and Delta Waves

What happened ?

Given the history of near syncope with palpitations the patient was admitted under paediatric cardiology for monitoring of likely tachyarrhythmia.

References / Further Reading

Life in the Fast Lane

Textbook

  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.

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ECG of the Week – 12th February 2018 – Interpretation

By | 14 februari 2018

The following ECG is from a 12 yr old male who presented to the Emergency Department following an episode of palpitations and near-syncope. he has no past medical history.



Click to enlarge

Rate:

  • 66 bpm

Rhythm:

  • Regular
  • Sinus rhythm

Axis:

  • Normal

Intervals:

  • PR – Short(~100ms)
  • QRS – Prolonged (120ms)
  • QT – 360ms (QTc Bazette 380 ms)

Additional:

  • T wave inversion leads aVR, aVL, V1
  • Biphasic T wave in lead V2
  • Delta wave best seen in leads I,V2-4
  • Notching initial portion of QRS in leads II, III, aVF

Interpretation:

  • Wolff-Parkinson-White (WPW) Syndrome
  • Pre-excitation evidence by PR shortening, QRS prolongation and Delta Waves

What happened ?

Given the history of near syncope with palpitations the patient was admitted under paediatric cardiology for monitoring of likely tachyarrhythmia.

References / Further Reading

Life in the Fast Lane

Textbook

  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.

Geef een reactie

Deze website gebruikt Akismet om spam te verminderen. Bekijk hoe jouw reactie gegevens worden verwerkt.