ECG Case 074

97 year old gentleman found unconscious at home. Brought into emergency by ambulance at 10am having last been seen at 8pm the evening before.

ECG Case 074 Top 100

Describe and interpret this ECG

ECG ANSWER and INTERPRETATION

Rate:

  • 30

Rhythm:

  • Irregular
  • No p waves visible

Axis:

  • Normal (+20 deg)

Intervals:

  • PR – no p waves visible
  • QRS – prolonged (160ms)
  • QT – 720-760ms (QTc Bazett 570-600 ms)

Segments:

  • Inferior ST sagging

Additional:

  • Right bundle branch block
  • Terminal QRS Notching – J wave

Interpretation:

  • Bradycardia
  • Slow atrial fibrillation
  • J waves
  • QT Prolongation

CLINICAL PEARLS

ECG Findings consistent with hypothermia

Patient’s core temperature was 28°C (82°F)


FURTHER READING

TOP 150 ECG SERIES



Emergency Medicine Specialist MBChB FRCEM FACEM. Medical Education, Cardiology and Web Based Resources | @jjlarkin78 | LinkedIn |

Leave a Reply

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