Jump to content

help in ecg interpretation please


Recommended Posts

hi, i'm a student and i've been trying to figure out this ecg but its just making me more confused..

 

the background is:

elderly female presents with grade 3 pitting edema bilateral lower limbs

sob on exertion

electrolytes normal

trop t elevated (21.4)

NT-proBNP elevated (763)

 

what i've got so far is:

rate-90bpm

rhythm-regular

p wave - normal

qrs - normal

t wave - 'flatten'

left axis deviation

 

the "model" answer that i'm told is that its IHD with CCF.

but i can't explain the deep s wave in II, III, aVF

as well as the RSR' in V2

 

any assistance is greatly appreciated

post-68446-137934852199_thumb.gif

Link to comment
Share on other sites

Do you know the "short-cuts" to determine axis (without looking at the EKG machine printed values) and LAHB? Also look at your QTc interval (you can use the machine's value for this). While borderline for a female, it is something to also pay attention to.

Link to comment
Share on other sites

Since OP hasn't responsed I thought I'd post this for others in case they weren't aware. Normal axis if leads I and AVF are both upright (R>S). LAD if lead I is upright and AVF is downward. RAD if both are downward. With regard to LAHB; If LAD is present and lead II is downward then by default you have a LAHB.

Link to comment
Share on other sites

Archived

This topic is now archived and is closed to further replies.

×
×
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More