ECG Case 091

55 year old male presents with central chest pain and diaphoresis

ECG Case 091 LITFL Top 100 EKG

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

TOP 150 ECG SERIES



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

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