This post is an answer to the ECG Case 234
- Rate: 78 bpm
- Rhythm:
- Regular
- Sinus rhythm
- Axis: Normal
- Intervals:
- PR – Normal (~200ms)
- QRS – Normal (80ms)
- QT – 340ms (QTc Bazette 390 ms)
- Segments:
- Up-sloping ST elevation in leads V2-4
- Additional:
- Biphasic T wave in leads V2-4
- T wave inversion in leads I, aVL
Interpretation
Wellens’ pattern
What happened next ?
The patient had raised ischemic biomarkers, however given the severity of his co-morbidities nil further intervention was performed. An ECHO showed concentric left ventricular hypertrophy with posterior wall akinesis.
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