You are asked to report on this ECG. All you know is that it was recorded from a 70-year-old female who was complaining of breathlessness.
What would you write in your report?
I am grateful to Kate Hardy from Freeman Hospital, Newcastle upon Tyne, for providing this ECG.
Dr Dave Richley
Initial thoughts were
Af
Transposed R and L arm leads
Partial RB3
Low voltage precordial leads – suggestive of maybe pneumothorax or effusion or maybe she had previous lung resection?
Thanks for kicking off the discussion, Mags. I won’t reply in detail yet, but are there any other possible explanations for the findings?
Atrial fibrillation. Right axis and some T wave inversion anterior lat leads. ?PE.
Thanks, Esther. I agree with AF and right axis deviation but are there any other possible explanations for what we see?
? COPD, Mitral stenosis with Pulmonary hypertension
Right axis deviation
Low voltage QRS complexes,V4-V6
Probable LAE which lead to the Af
I’d opt for the Mitral Stenosis as Im guessing she would have been diagnosed with COPD earlier
Abnormal Q waves in the anterior and lateral leads post MI?