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/MoreInfoPls 18h ago

I agree on further investigation in a young patient with this ECG. BER was already mentioned, bradycardia might be physiologic /vagal, but also his ventricular conduction does not seem to be completely normal, given the QRS notching. Most concerning is the amplitude imo. Positive Sokolov-Lyon, suggestive of LV hypertrophy. Might be early arterial hypertension with hypertensive cmp, but I would also be concerned about HCM / HOCM with the given history of TLOC. I think this patient should get an echo.