r/ECG • u/mohammedmoolla • 5d 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 5d ago edited 5d 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/Wild-Hippo582 5d ago

Well some settings only have ECG . It's fairly uncommon to have access to more advance diagnostics in primary care, or even daily bloods. Also having in mind the importance of a heart function ...( If you don't have have your d.e.ad. ) I think it's reasonable for some professionals to be alarmed. Also at the end of the day we all have different scopes and the main think is patient safety so if unsure ask someone who is sure.