By David Adlam, John R. Hampton DM MA DPhil FRCP FFPM FESC, Jo Hampton
Wow, do not cross pass eyed but when it's a development reputation ECG e-book you would like, this can be it, you'll have to learn the better half ECG made effortless first - or purchase them jointly.
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Additional resources for 150 ECG Problems
117 * A 75-year-old woman complaining of central chest discomfort on climbing hills, together with dizziness; on one occasion she had 'fainted' while climbing stairs. What abnormality does this ECG show and what physical signs would you look for? o O ANSWER 19 The ECG shows: • • • • about 100 mmHg. A cardiac catheter was necessary to exclude coronary disease and she then had an aortic valve replacement and made a complete recovery. Sinus rhythm Broad QRS complexes (140 ms) 'M' pattern in lead V6 Inverted T waves in leads I, VL, V6 Clinical interpretation This is a characteristic pattern of left bundle branch block.
O O ANSWER 19 The ECG shows: • • • • about 100 mmHg. A cardiac catheter was necessary to exclude coronary disease and she then had an aortic valve replacement and made a complete recovery. Sinus rhythm Broad QRS complexes (140 ms) 'M' pattern in lead V6 Inverted T waves in leads I, VL, V6 Clinical interpretation This is a characteristic pattern of left bundle branch block. The ECG cannot be interpreted further. What to do A patient who has chest pain that could be angina, and who has dizziness and syncope on exertion, probably has severe aortic stenosis and this was the case with this woman.
What does it show and what would you do? ANSWER 17 The ECG shows: A & E department before transfer to the coronary care unit. Ventricular extrasystoles do not need treating. CO m 70 • • • • Sinus rhythm One ventricular extrasystole Normal axis Q waves in leads V2-V3; small Q waves in leads VL, V4 • Raised ST segments in leads I, VL, V3-V5 XJ Clinical interpretation Acute anterolateral myocardial infarction is indicated. Although a Q wave is well developed in lead V3, the changes are entirely consistent with the story of pain for 1 h.