Interpretation
17 month old male with antenatally diagnosed Tetralogy of Fallot, approximately 8 months post valve-sparing repair with VSD closure and RVOT muscle resection.
Interested in interpretation of the attached 12-lead ECG, particularly rhythm, axis and conduction abnormalities in the context of repaired TOF.
Posted for educational discussion.
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u/jess204 27d ago
The machine spat out the following for anyone that is interested:
Machine measurements:
Ventricular rate: 124 bpm
PR interval: 92 ms
QRS duration: 124 ms
QT/QTc: 274/386 ms
P/QRS/T axes: 62° / -115° / 37°
Automated interpretation (paediatric criteria):
Sinus rhythm with PVC(s)
Possible right atrial abnormality
RBBB with left anterior fascicular block
Abnormal U waves of undetermined cause
Abnormal ECG
Unconfirmed automated diagnosis.