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


References

Further Reading

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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