ECG Case 060

16-year old male presenting with syncope. Describe and interpret his ECG.

TOP 100 ECG QUIZ LITFL 060

Describe and interpret this ECG

ECG ANSWER and INTERPRETATION

Main Abnormalities

  • Markedly peaked T waves in V2-6.
  • Extremely short QT interval (~240 ms).

In a patient presenting with syncope, this ECG pattern is very suspicious for the short QT syndrome.

Short QT Syndrome


CLINICAL PEARLS

When to Suspect SQTS

  • Any patient with a QT interval < 330 ms.
  • QT interval < 360 ms and convincing symptoms (syncope, cardiac arrest) or family history.

Differential Diagnosis


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 |

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