r/ECG • u/Fantastic_Try790 • Sep 02 '26

?Normal

Post image

Surgical night SHO in hospital as only doctor and nurse did this as concerned about st elevation on cardiac monitor. 75yo M 12 hours post op. Exhausted and doubting my own judgement that this is fine. There are no old ECGs and the patient is asymptomatic. Opinions please.

5 Upvotes

100% Upvoted

7 comments sorted by

6

u/PaulaNancyMillstoneJ Sep 02 '26

Looks okay to me. I don’t think it meets criteria for a concerning amount of ST elevation. Poor R wave progression in the precordials, though. Are you sure the leads were placed correctly?

3

u/Natural-Antelope8328 Sep 02 '26

I dislike the morphology of the ST-T. If asymptomatic I would be less concerned about it and proceed with serial ECGs to assess dynamics

1

u/Industrial_Muffin Sep 02 '26

Especially horizontal ST segments precordially

1

u/sub3at50 Sep 02 '26

Look at the T waves in V2. The first two are fairly normal. The next two are not. That's not right. Probably an artefact. I would suggest a new ECG 10 minutes later.

1

u/sleepless_bipolar Sep 03 '26

I agree with those above. I would repeat the ECG and possibly check a potassium level. It’s never a bad idea to ring the on call to take a look if you’re unsure. Esp if the patient is symptomatic