neurom
Forum Senior
Topics: 2
Posts: 127
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can't open it,,,
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"Nature magically suits a man to his fortunes, by making them the fruit of his character".
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| tamerbashir
Forum Elite
Topics: 20
Posts: 284
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links are ok iam sure try again plz
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,208
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can't open it!
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When men make the rules, God decides the exceptions.
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| romano
Forum Newbie
Topics: 3
Posts: 18
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Do you need a thorough explanation or just the short answers?
Anyway, I'll give it a try:
1. Deltawave, wpw, preexcitation...
2. Who's the patient? Young athlete, old patient, breast pain? Could be normal, maybe ischemia.
3. Acute STEMI, lateral.
4. some T-negativity... Old infarction, ongoing? Again, need some clinics to tell.
5. STEMI
6. AV-block II, wenchebach.
6+. AV-block III
7. STEMI, anterior.
8. normal?
More comments would be great though, I'm not a real expert on this.
Edited by romano on 01/02/08 - 04:39 AM
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| tamerbashir
Forum Elite
Topics: 20
Posts: 284
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thanks romano
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| mildus
Forum Guru
Topics: 19
Posts: 614
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1. shortened PR interval - delta wave =preexcitation syndrome
2. significant Q in leads D2, D3 and aVF = old infarct (inferior wall), ST depression in precordial leads- maybe ischaemia
3. ST elevation in D2, D3, aVF, and ST depression in opposite leads = inferior infarct, ST elevation in V4-V6= maybe lateral infarct; although ST elevation can also represent cardiac aneurism after myocardial infarct (here it is crucial to compare with old ECGs), acute pericarditis (concave ST elevation in all leads except V1 and aVR
4. HR 100/min, sinus rhytm, right electrical axis deviation, inverse T wave in V2-V5, no hypertrophy, deep S in V6 (e.g. smoker, some lung problem); ?
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| mildus
Forum Guru
Topics: 19
Posts: 614
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5. inferior infarct
6. continuous PR interval widening until QRS fails to appear= 2nd degree AV block (Wenckebach or Mobitz I), it is also seen very tall R in aVL (borderline for left ventricular hypertrophy)
6+. very suggestive for AV block III (complete atrioventricular dissociation, atrial frequency about 100/min, ventricular rate about 50/min)
7. negative T waves, V2-V4 ST elevation= possibly anterior infarct
8. not sure, maybe normal, but it seems like PR interval is very slightly above 0,20 sec which could indicate 1st degree AV block, left ventricular hypertrophy is suspicious
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,208
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mildus:
I didn't see the EKGs, but for sure you're good at it (very good putting the pieces together)! Congrats!
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When men make the rules, God decides the exceptions.
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| mildus
Forum Guru
Topics: 19
Posts: 614
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Don't congratulate in advance, first check;-)
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| arlete
Intern in 2009!!!!!
Topics: 30
Posts: 2,208
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I can't open it... Just liked the way you reasoned, sounded like a cardiologist... 
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When men make the rules, God decides the exceptions.
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