By David Adlam, John R. Hampton DM MA DPhil FRCP FFPM FESC, Jo Hampton
Wow, do not pass pass eyed but when it's a trend attractiveness ECG ebook you wish, this is often it, you'll have to learn the spouse ECG made effortless first - or purchase them jointly.
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Additional info for 150 ECG Problems
160 ECG 28 This EGG was recorded from a 39-year-old woman who complained of a sudden onset of breathlessness. She had no previous history, and no chest pain. Examination reveals nothing other than a rapid heart rate. What is the diagnosis? ANSWER 28 The ECG shows: • • • • • • the sudden onset of breathlessness without pain suggests a pulmonary embolus, and here the VQ scan confirmed multiple small pulmonary infarcts. Sinus rhythm, rate 140/min Normal conduction Normal axis Normal QRS complexes Slightly depressed ST segments in leads V1-V4 Diphasic or inverted T waves in the inferior and all the chest leads Clinical interpretation The ECG shows a marked sinus tachycardia, with no change in the cardiac axis and normal QRS complexes.
ANSWER 16 The ECG shows: • Sinus rhythm • Prolonged PR interval of 280 ms (best seen in leads V1,V2) • Normal axis • Normal QRS complexes • Normal ST segments and T waves dizzy turns while wearing it. It would then be possible to see whether or not the dizziness was associated with a change in heart rhythm. First degree block itself is not an indication for permanent pacing or for any other intervention. Clinical interpretation Sinus rhythm with first degree block. What to do First degree block does not cause any haemodynamic impairment, and by itself is of little significance.
What does the ECG show and how should the patient be treated? ' 11 s ANSWER 29 The ECG shows: • • • • • m •73 K) O Sinus rhythm PR intervals markedly prolonged (480 ms) Normal axis Normal QRS complexes T wave inversion in leads V1-V3 Clinical interpretation First degree block associated with a non-Q wave anterior myocardial infarction. Since the T wave inversion is in leads V1-V3 but not V4 the possibility of a pulmonary embolus must be considered. What to do The changes on the ECG do not meet the conventional criteria for thrombolysis for myocardial infarction (raised ST segments or new left bundle branch block).
150 ECG Problems by David Adlam, John R. Hampton DM MA DPhil FRCP FFPM FESC, Jo Hampton