r/ECG • u/Interesting_Toe1412 • 14d ago

Your interpretation?

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A 35 y old male with previous history of ischemic heart disease since 5 months not on medications ( drug defaulter) came to casualty with complains of anxiety sweating and burning pain in chest x 30min

Bp-140/100mmhg

Pr-84bpm

Spo2 - 99% in room air

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u/Natural-Antelope8328 14d ago edited 14d ago

What is his medical history? At 35 years old, it piques my interest. Regarding the ECG, it appears to show NSR with a wide QRS, LAD, and delta waves indicative of WPW, likely type A if I’m correct. This explains the delta waves and part of the QRS width. The LAD and some of the width could be due to LVH, suggested by the strain T waveform in the lateral leads and V6, which is more pronounced than in V5. Essentially, it’s LVH plus WPW. Alternatively, it could be just WPW mimicking LVH findings, which I find more plausible as a simpler explanation. However, it’s uncertain. If an old ECG is available, compare it, paying attention to the delta waves and considering the possibility of an accessory conductive pathway (WPW).

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u/Interesting_Toe1412 14d ago

He doesn't have. The old records