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ECG Abnormalities_Part 18

Saturday, January 29, 2011


A 60 year old male who is a known patient with type 2 diabetic mellitus and hypertension presents to your clinic and has the below ECG:
What are the ECG abnormalities?
What is the differential diagnosis of this ECG finding?


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10 Responses to ECG Abnormalities_Part 18

  1. Anonymous Says:
  2. SR
    SB
    LAD
    LAHB

     
  3. T inversion in V1( ischemic); negative Q in D3, V1, V2 , V3 (previous infarction);no R wave progression ( septal acinesia?);abnormalities of ripolarizzation.

     
  4. Le son Says:
  5. Sinus rhythm, rate 60 beats/min
    Left axis deviation --> Maybe: left ventricular hypertrophy or anterior,left bundle branch block
    Degree I AV Block
    rS DII, aVF, V1 to V4 --> Need: Stress testing (e.g Exercise ECG)

     
  6. Anonymous Says:
  7. sinus rythm = present
    HR=60
    QRS duration= Normal
    pq interval=280ms(approx.) 1st degree AV block
    prominent inc pattern of S waves in v1,v2,v3= permanent repolarisation of right ventricle

    diff diagnosis:
    RVH, VSD, left ant. hemiblock.

     
  8. dr atif Says:
  9. ecg abnormalities according to my opinion is hypertrophic changes in v3,v4,v5.poor r progression in lead 3 and avf.avl showing rsr pattern indicating bundle branch block not significant as just one lead having changes.no evidence of reciprocal changes.or atrial and ventricular arrthymias.or axis deviation.my opinion is the hypertensive changes.no other findings.

     
  10. there is regular NSR, LAD,POOR PROGRESSION OF R WAVES V1, V2,V3,V4. MAY B B.C OF OLD AWMI OR CMP.

     
  11. f Says:
  12. sinus rythm
    left axis deviation
    no R progression
    no Q waves are present
    just a little abnormality of T wave which shows in a diabetis mellitus type 2 patient hyperkalemia and ischemia
    precipitating causes of diabetes mellitus type 2 here is ischemia we discharge the patient on insulin with followup to get him off of insulin and oral hypoglycemics

     
  13. Anonymous Says:
  14. SR @ 66 bpm with a 1st degree AVB.
    Pathological LAD @ approximately 35 degrees.
    LAE
    Poor R-wave progression with a late transition in V5. Questionable placement of the precordial leads.
    U-waves seen in V3 - V6, II, III, and aVF. Electrolytes?

    N. Adams NREMT-P, FP-C

     
  15. Anonymous Says:
  16. Oops.............That's Physiological LAD @ -35 degrees......Not Pathological. If it were pathological LAD of > -40 degrees, there would be evidence of an anterior hemi-block.......but not in this case.

    N. Adams NREMT-P, FP-C

     
  17. Anonymous Says:
  18. LAD
    Omi anteroseptal
    Omi inferior

     

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