ECG Case 041

70-year old patient presenting with acute pulmonary oedema. Describe the ECG

TOP 100 ECG QUIZ LITFL 041

Describe and interpret this ECG

ECG ANSWER and INTERPRETATION

This is an ECG example of dilated cardiomyopathy demonstrating signs of enlargement of all four cardiac chambers:

This patient had four-chamber dilatation on echocardiography with severe congestive cardiac failure (awaiting cardiac transplantation).


TOP 100 ECG SERIES


Emergency Physician in Prehospital and Retrieval Medicine in Sydney, Australia. He has a passion for ECG interpretation and medical education | ECG Library |

One comment

  1. It’s possible see still two signs of RAE: Sodi-Pallares sign – qR (in this case qRs) in V1 (normal is rS); and Peñaloza-Tranchesi sign – fast change QRS shape V1 to V2, little in the first and normal in the last one.

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