Wednesday, November 18, 2009

Three Muskateers

Challenge: Click on the image to enlarge. This EKG has voltage criteria for LVH, non-specific inferior and lateral ST-T changes, and one peculiar finding on the intervals that identifies this as a 3-name syndrome...what is it?

Image shown under fair use.


Suheil said...

Short PR interval, Wolff- Parkinson -White disease.. I had a hunch it was that, but i had to look it up to confirm.. nice ECG.. really subtle delta waves....

Craig Chen said...

almost! the reason the delta waves are very subtle is that they don't exist...this is Lown-Ganong-Levine which is WPW without delta waves.
Three Muskateers

This is Lown-Ganong-Levine Syndrome, a pre-excitation syndrome similar to Wolff-Parksinson-White, diagnosed by a short PR interval and normal QRS complex. It may represent a perinodal accessory pathway or enhanced AV conduction.

Sources: UpToDate;

Suheil said...

oh .. thats's embarassing.. i'd never even heard of this syndrome.. nice one man.. keep up the good job..