Home | About Us | Staff | Location | Patient Services | Patient Education | News | Medical Journals | Links
 Dr. Schwarz Cardio

Home
About Us
The Oath
Location
Staff
Patient Services
Hospitals

 Resources
Patient Education
Medical Journals
Links
 Updates
News
Late-Breaking
Clinical Trials

ECG Decoder
 
 
   ECG Decoder
   
 

ECG of February

Electrocardiogram of a 70 year-old woman who presented within 45 minutes of the onset of severe retrosternal chest pain. The patient was given sublingual nitroglycerin which produced hypotension. 12-lead cardiogram showed hyperacute ST segment elevation in the inferior leads. This is the so-called 15-lead cardiogram with leads V4R (mislabeled RV4), V8, V9.

Rate 54/min
PR 0.16 sec
QRS 0.08 sec
QT 0.44 sec
QTc 0.41 sec
QRS axis + 70º

Interpretation: Abnormal ECG. Sinus bradycardia. Hyperacute ST segment elevation in the inferior leads - II, III aVF, and right precordial lead - V4R and reciprocal ST segment depression in the lateral leads indicative of acute inferior wall and right ventricular infarction.

Hypotension responded to parenteral crystaloids. The patient received thrombolytic treatment with no reperfusion (persistent chest pain and ECG changes). She underwent rescue angioplasty and stenting of a severe stenosis in the proximal dominant right coronary artery.


Archive


2006

2005 2004 2003 2002


 
Top | Home | About Us | Staff | Location | Patient Services | Patient Education | News | Medical Journals | Links