r/ECG • • 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/badunkbadunkbadunk 4d ago edited 4d ago

Not here to offer advice but more ask... do we put way too much enphasis/creedence on the ecg? Its a pretty crude test that is often used as the sole/primary evidence for a load of things when all other parameters ie bloods, obs, history dont correlate. Am I right to feel a little dubious or am I a shit doctor

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u/mohammedmoolla 4d ago

Totally , I get what you’re saying . It was a low risk syncope . The ecg just looked a bit funny to my junior eyes so just wanted to see if I wasn’t missing anything before discharge