• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to footer

Life in the Fast Lane • LITFL • Medical Blog

Emergency medicine and critical care medical education blog

  • MENU
  • ECG
  • CCC
  • Top 100
  • PODCASTS
  • JOBS
  • TOX
  • PART ONE
  • INTENSIVE
Home | Top 100 | TOP 100 ECG | ECG Case 041

ECG Case 041

by Dr Ed Burns, last update March 19, 2019

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:

  • There is marked LVH with very deep S waves in V2-4.
  • Right axis deviation suggests associated RV enlargement (= biventricular enlargement).
  • Evidence of left atrial enlargement (deep, wide terminal portion of the P wave in V1).
  • Peaked P waves in lead II suggestive of right atrial enlargement (~ 2.5mm in height).

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


TOP 100 ECG SERIES


Share this:

  • Facebook
  • Twitter
  • LinkedIn
  • Print

Related

About Dr Ed Burns

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

Reader Interactions

Leave a Reply Cancel reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Primary Sidebar

  • Twitter
  • Facebook
  • Vimeo
  • LinkedIn
  • Twitter
  • Twitter
  • RSS Feed

Recent Posts

Road to Resus 1: Pre-hospital Resuscitation

Adult CXR Cases 002

Is climate crisis a medical emergency?

Pain scale

Pediatric CXR Cases 007

Footer

RSS FEED  LITFL posts by EMAIL or RSS

RSS FEED  LITFL Review by EMAIL or RSS

RSS FEED  FFFF by EMAIL or RSS

#FOAMed Medical Education Resources by LITFL is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Based on a work at https://litfl.com

  • Twitter
  • Vimeo
  • Facebook
  • LinkedIn
  • Twitter
  • Twitter

Authors • Blog • Contact • Disclaimer

2018 Launch

  • 22,581,993 visitors

Copyright © 2019 · Powered by vocortex and iSimulate