‍ ⚠️ #ECG of the week 109

👈#پاسخ :
🔸#Answer :

✅ Rate:
• 48 bpm
Rhythm:
•Irregular
•Nil P waves visible
Axis:
•Right axis deviation
Intervals:
•QRS – Prolonged
Additional:
•ST Elevation leads I, aVL, V1-4
•ST depression leads III, aVF
•Bizarre broad QRS without typical BBB
•Prominent T waves leads V3-6
Key abnormalities:
•Slow atrial fibrillation
•QRS Prolongation
•High lateral ST elevation
•Prominent precordial T waves
The differentials of these ECG findings are relatively broad but the immediate life-threats would be:
•Acute myocardial infarction
•Hyperkalaemia +/- acidaemia
•Drug toxicity
Other causes include myocarditis, cardiomyopathy and hypothermia.

🔻Clinical Outcome
We must always take our ECG differentials to the bedside and consider them within the clinical presentation and scenario. ECG abnormalities in the acutely unwell diabetic should always prompt consideration of hyperkalaemia and acid-base disturbance as the primary cause. We must also be mindful that diabetic emergencies can be precipitated by acute cardiac ischaemia and also cause hypercoagulable states. ...

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💌 #ECG of the week 110 :

👈#پاسخ (1-2):
🔸#Answer :

✅Description and interpretation of #ECG 1

-Rate:
•72 bpm
-Rhythm:
• Regular
•Sinus rhythm
-Axis:
•Normal
-Intervals:
•PR – Normal (160ms)
•QRS – Normal (100ms)
• QT – 400ms (QTc Bazett 440 ms)
-Segments:
• ST elevation lead V1 (<1mm)
-Additional:
• Biphasic T wave lead V2
• T wave inversion leads I, aVL, aVR, V1, V3-6
o Deep inversion leads V3-5
• Voltage criteria for LVH
-Interpretation:
The differentials of deep T wave inversion are relatively broad but in a patient with a history of chest pain, a pain free ECG and these ECG features the major concern is Wellens syndrome – signifying a critical LAD lesion.
The subsequent ECG, taken whilst having chest pain, highlights the need to recognize the Wellens pattern.

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