CARDIOLOGY - ECG LIBRARY
Case 71
17M, Pale playing footy. Describe + interpret


Expected Response
SR approx 50 bpm
Leftward axis 1 postive 2 equiphasic 3 negative
PR interval – ok if described short (borderline – 30% assoc. with WPW)
Q waves – dagger Q’s V1-5 (with narrow complex QRS)
LVH by voltage
Diffuse ST/T changes with T wave inversion chest leads V2-5
= Highly suspicious for HCM (or HOCM)
Leftward axis 1 postive 2 equiphasic 3 negative
PR interval – ok if described short (borderline – 30% assoc. with WPW)
Q waves – dagger Q’s V1-5 (with narrow complex QRS)
LVH by voltage
Diffuse ST/T changes with T wave inversion chest leads V2-5
= Highly suspicious for HCM (or HOCM)