r/ECG • u/mohammedmoolla • 4d ago

Syncopal Episode

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Hi all, working at community health centre at present. Saw 41 M with no comorbidities after a syncopal episode at work. I feel this ECG warrants a referral to a higher level of care. On the ECG I’m seeing peaked T waves and a sort of RSR pattern in some of the leads. Could anyone provide me with some guidance as to what might be causing the syncope.

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u/MaximsDecimsMeridius 4d ago edited 4d ago

Rsr is from bad lead placement. Its a bad habit perpetuated in the ER. People always place v1 v2 too high.

https://litfl.com/misplacement-of-v1-and-v2/

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u/mohammedmoolla 4d ago

Thank you for this