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stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
stepwise interpretation of ECG ID279 RVH
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stepwise interpretation of ECG ID279 RVH

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  • 1. Stepwise interpretation of ECG ID 279 – RVH
  • 2. ID 279 – This 57 year old woman who had rheumatic fever at age 17 has been suffering from severe dyspnea and fatigue during the past year
  • 3. ID 279 – Normal sinus rhythm, 80/min Yes: The P waves originate from the sinus node– The rhythm is regular , the rate is 80/min. – Each P is followed by a QRS - The PR interval is normal – NORMAL SINUS RHYTHM, 80/min
  • 4. ID 279 – Normal sinus rhythm, 80/min – Left atrial enlargement There are signs of left atrial enlargement
  • 5. Let’s now look at the QRS complexes: There is Right axis deviation ID 279 – Normal sinus rhythm, 80/min – Left atrial enlargement – Right axis deviation
  • 6. Let’s now look at the QRS complexes: There is Right axis deviation ID 279 – Normal sinus rhythm, 80/min – Left atrial enlargement – Right axis deviation
  • 7. The QRS duration is normal : There is no right bundle branch block, left bundle branch block or non-specific block ID 279 – Normal sinus rhythm, 80/min – Left atrial enlargement – Right axis deviation
  • 8. There is right ventricular hypertrophy ID 279 – Normal sinus rhythm, 80/min – Left atrial enlargement – Right axis deviation Right ventricular hypertrophy
  • 9. There are no QRS signs of myocardial infarction ID 279 – Normal sinus rhythm, 80/min – Left atrial enlargement – Right axis deviation Right ventricular hypertrophy
  • 10. There is ST depression in II, III, aVF and the right chest leads (V1-V3) may be due to RVH – There are negative T waves in V4-V6. Diffuse T changes are not uncommon in patients who are in heart failure. They may be due to ischemia ID 279 – Normal sinus rhythm, 80/min – Left atrial enlargement – Right axis deviation Right ventricular hypertrophy
  • 11. There is ST depression in II, III, aVF and the right chest leads (V1-V3) may be due to RVH – There are negative T waves in V4-V6. Diffuse T changes are not uncommon in patients who are in heart failure. They may be due to ischemia ID 279 – Final diagnosis: Normal sinus rhythm, 80/min – Left atrial enlargement – Right axis deviation Right ventricular hypertrophy with ST-T abnormalities
  • 12.  

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