12 Lead ECG Interpretation Course - 12-Lead ECG Interpretation Tracing of the Week

12 Lead ECG Interpretation Course by Dr. Vernon Stanley

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FREE 12-Lead ECG Interpretation Tracing of the Week
Tracing #111 [ Scroll down to submit answer ]

It is 02:00 hrs at a 20-bed general hopsital where you are working as a hospitalist. You are called to evaluate the patient below with chest pain. Choose the one "best choice"...only one interpretation.
Tracing of the Week (Tracing #111)

	A..... Probable LVH with ST-T changes. Voltage and age criteria are met. The ST-T depression in V4-V6, I and avL might be partially secondary to the LVH pattern.
	B..... The underlying rhythm is atrial fibrillation.
	C..... This is an atypical pattern of the Brugada sign (Hint: magnify Lead II and carefully look at the ST segment and note that it forms nearly a 45 degree angle with the baseline).
	D..... ST elevation in Leads II, III and avF of the Benign Normal Variant (early repolarization). No treatment is needed.
	E..... ST elevation concave down (tombstoning) in Leads II, III and avF consistent with the acute inferior MI (STEMI).

	F..... ST-T depression/inversion in the reciprocal leads of I, avL and V1-V6. This virtually clinches the diagnosis of the acute STEMI.
	G..... A, B and C only.
	H..... A, B and D only.
	I..... A, B, E and F only.
	J..... A, B, C , E and F only.

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