I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
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?
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....
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.
3 comments:
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....
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; sh.lsuhsc.edu.
oh .. thats's embarassing.. i'd never even heard of this syndrome.. nice one man.. keep up the good job..
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