CARDIAC BOOTCAMP
  • HOME
  • Course Login
    • Log In
    • Log Out
  • SYLLABUS
  • STORE
    • Online Self Study Course
    • Cardiac Video Course
  • ECG OF THE WEEK

ECG OF THE WEEK

BECOME A COURSE MEMBER
Each Week we put up one ECG case for you....because it's easier to learn from cases.
The ECG of the week is FREE to everyone. To become an expert at ECG's join the Cardiac Bootcamp Course. It's a great way to Learn!
​Or come to one of our LIVE Cardiac Bootcamps

A 9 yo girl with collapse

10/5/2021

1 Comment

 
A 9 yo girl is brought into the emergency department, following an episode of syncope. She has a current viral illness and looks miserable. She was walking into the Emergency Department with her mother, when she collapsed. She recovered quickly with no post-ictal component but has no memory of the event, although the event was preceded by ‘dizziness’ and diaphoresis.  Her past medical history is ADHD, for which she is on no medication.
You review her in the triage room as the department is filled to capacity. The vitals are all normal but the child looks tired and has some coryza symptoms. You ask the resident to get the rest of the story and show you an ECG.
The resident brings you the ECG shown below. What is your comment on this ECG?
Picture
ECG Interpretation
At first glance: There is T wave inversion in anterior leads but you would expect this in a young girl. There are however T waves inverted in the lateral leads…….STOP. Let’s go over the ECG in a systematic fashion.
Is it sinus rhythm? For it to be sinus, the p wave in II must be upright and the p wave in aVR inverted. This is not the case. Now look at lead I, The p waves are inverted and they should be upright.
Two things give you this pattern:
  1. Limb lead reversal and
  2. Dextrocardia
This ECG is the result of limb lead reversal.
You have the ECG redone. The ECG is shown below. How would you comment on this?
Picture
Cardiac Bootcamp Self Study Course Members
should read the section on Paediatric ECG

Read More
1 Comment

    Author

    Dr Peter Kas
    ​Emergency Physician

    Picture
    Picture
    Sign up for
    ECG of the week
     Its free

    Archives

    February 2023
    January 2023
    December 2022
    November 2022
    October 2022
    September 2022
    August 2022
    July 2022
    June 2022
    March 2022
    December 2021
    November 2021
    October 2021
    September 2021
    August 2021
    July 2021
    June 2021
    May 2021
    April 2021
    March 2021
    February 2021
    January 2021
    December 2020
    November 2020
    September 2020
    August 2020
    July 2020

    Categories

    All
    Atrial Fibrillation
    Atrial Flutter
    Atrial Tachycardia
    Axis
    Bradycardia
    Cardiac Arrest
    Chest Pain
    ECG Mimics
    Ischaemia
    Lead Reversal
    Myopericarditis
    Pacing
    Paediatric Arrhythmias
    Paediatric ECG
    Paediatric Syncope
    Pericarditis
    QT Interval
    STEMI
    STEMI Mimics
    SVT
    Ventricular Tachycardia
    Wellens
    Wide Complex Tachycardia

Our Other Websites to Visit

www.emcore.com.au
www.resus.com.au

Contact Us
© COPYRIGHT 2015. ALL RIGHTS RESERVED.
  • HOME
  • Course Login
    • Log In
    • Log Out
  • SYLLABUS
  • STORE
    • Online Self Study Course
    • Cardiac Video Course
  • ECG OF THE WEEK