💌 #ECG of the week 111 :

🛑 #Interpret the ECG : #ECG Case 111

•71yr old male who
•Presented with several episodes of ischemic sounding
•Chest pain
•Background of known ischemic cardiac disease

-Rate:
•Mean rate 66 bpm
-Rhythm:
•Sinus rhythm
•Unifocal PVCs
-Axis:
•Normal
-Intervals:
•PR – Normal (~200ms)
•QRS – Prolonged (120-130 ms)
•QT – 410ms (QTc Bazett 470 ms)
-Additional:
•QRS fragmentation
oBest seen leads V2-3
oLead V2 rsr’s’r”s” pattern
oLead V3 rsr’s’ pattern
•T wave inversion leads V4-5
•ST elevation leads aVR and aVL (< 1mm)<1mm font=””>
•ST depression leads II, III, aVF

✍️by Dr John Larkin


✳️⁉️Describe and interpret this #ECG

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