This post is an interpretation of the ECG Case 192
- Rate: 54/min
- Rhythm:
- Regular
- Sinus Rhythm
- Axis:
- Normal (-14 deg)
- Intervals:
- PR – Normal (~160ms)
- QRS – Normal (80ms)
- QT – 440-480ms (QTc Bazette ~ 420 ms)
- Additional:
- Deep T wave inversion in leads V2-6, I, II, III, aVF
- Positive T wave in aVR
- Positive deflection terminal portion T waves – ? TU fusion best seen precordial leads
Interpretation
In clinical setting of severe headache and widespread T wave changes this is concerning for raised ICP, in this case that could be from subarachnoid haemorrhage.
The patient had a normal CT scan and was transferred to a tertiary center for further investigation and management of other co-morbidities.
