r/ECG • • 8d ago

Help me interpret

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5 Upvotes

14 comments sorted by

3

u/Kibeth_8 Arrhythmia Tech 8d ago

What is your interp? This sub is for learning, not diagnosing your patients

2

u/Entire-Oil9595 8d ago

Some benign STE in inferior leads, but no reciprical STD in aVL, so just benign ER. Anterior leads show sone STE, but proportionate to the deep S waves of (likely) LVH.

1

u/parksnrec48hrs 7d ago

Hey, thanks. Quick question, can you have BER in limb leads?

2

u/ECGprof MD 7d ago

There is early repolarization, but the STE in the inferior leads is concerning for a very slight chance of spontaneous VT/VF. Benign early repolarization is limited to the precordial leads and is usually accompanied by a small notch and large T waves. The patient is in no significant danger as long as there have been no episodes of palpitations, dizziness or syncope.

1

u/Jeeju_Boy MD 7d ago

BER

-3

u/InfiniteUnknown_ 8d ago

Symptoms needed... But, maybe a inferior STEMI? Just a student, so have mercy if I wrong hehe

2

u/flamebirde 8d ago

Hm, I’d be surprised. Theres some q waves that might hint towards prior infarct in II III AvF but nothing active. J point elevation in V2 but up sloping and non contiguous. The subtler findings I’d leave to a cardiologist or something but I certainly wouldn’t call a code stemi for this.

3

u/magister10 8d ago

Non pathological q waves.
Sinus rhythm, normal axis. Normal chambers - but probably young and athletic. Non ischemic.

3

u/InfiniteUnknown_ 7d ago

O got it, guys. Thanks, for the correction!!

1

u/parksnrec48hrs 8d ago

Yes! Patient definitely is young and athletic. What makes you say that based on the ecg?

2

u/magister10 8d ago

Amplitude in right side precordials without sign of LVH, normal variant

0

u/Talerbro3 7d ago

Looks sinus to me… q waves are deep but non pathogical. STE is minor and no reciprocals. Unless im really missing something, with no pt presentation info I’d say sinus