Thursday, April 28, 2011

The Price is Right

Challenge: Tell me about this EKG.

Image is shown under Fair Use.


Kate said...

-normal sinus rhythm
-right axis deviation
-tall P waves in II, suggesting RAE
-tall R waves in V1-2, suggesting RVH
-QRS slightly widened? (It's hard to see the little boxes!)
-ST segment sagging and T wave inversion, consistent with strain

Craig Chen said...

i like it! super thorough
The Price Is Right

The prominent anterior forces (tall R in V1, V2) along with the right deviated axis suggest RVH. The P waves in lead II are tall, and there is loss of the biphasic P in V1 suggesting RAE. This picture is consistent with pulmonary hypertension.