ECG Case 091
55 year old male presents with central chest pain and diaphoresis
Describe and interpret this ECG
ECG ANSWER and INTERPRETATION
Rate:
- Atrial rate ~115-120
- Ventricular rate ~ 48
Rhythm:
- Regular ventricular complexes
- No relationship between atrial & ventricular activity
Axis:
- Normal (+45 deg)
Intervals:
- PR – No relationship between P waves & QRS complexes
- QRS – Normal (80ms)
- QT – 360ms (QTc Bazett ~ 320 ms)
Segments:
- ST Elevation – II (2mm), III (3mm), aVF (2mm), V6 (1mm)
- ST Depression I, aVL, V2-4
Interpretation:
- Bradycardia
- Inferior STEMI
- ? Posterior Extension – flat ST Depression V2-3
- Complete Heart Block with Junctional Escape Rhythm
FURTHER READING
- ECG Library – Inferior STEMI
- ECG Library – AV block: 3rd degree (complete heart block)
- ECG Library – Junctional Escape Rhythm
TOP 100 ECG Series
Emergency Medicine Specialist MBChB FRCEM FACEM. Medical Education, Cardiology and Web Based Resources | @jjlarkin78 | LinkedIn |