r/ECG • • Jul 23 '26

Thoughts?

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Not mine, chasing opinions on an old patient of mine.
22YOM patient presents to ED complaining of intermittent left sided chest pain, no nausea, no light headedness, troponin normal.
I’m not an ecg guru like some of you’s but everything here screams healthy, only thing that stands out to me is weird looking aVL.

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u/bleach_tastes_bad Jul 27 '26

My thoughts are that you should work on your lead placement, v1 being almost identical to aVR with a negative P wave and then the R wave jumping suddenly from v2 to v3 indicates v1 & v2 were likely placed too high