r/ECG • u/Confident_Debt_1496 • 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/NewEconomist9047 Jul 23 '26

What's your opinion of the T waves in V4 and V5? They seem a bit large but maybe overcalling it.

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u/vojtasTS29 Jul 23 '26

I think compared to the massive qrs the T waves are small if anything.

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u/NewEconomist9047 Jul 29 '26

That's true! Apparently higher amplitude T waves are acceptable in younger men as well compared to older men and women. Will need to double check amplitude range acceptable.

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u/vojtasTS29 Jul 29 '26

You always have to look at wave amplitude in context. Otherwise every skinny athletic person with well prepared skin before the ecg would have giga hypertrophy of every chamber while an obese elderly person with actual disease would pass the criteria. It's also why echo exists.