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- Rate: 66 bpm
- Rhythm: regular sinus rhythm
- Axis: normal
- Intervals:
- PR – Short(~100ms)
- QRS – Prolonged (120ms)
- QT – 360ms (QTc Bazette 380 ms)
- Additional:
- T wave inversion in leads aVR, aVL, V1
- Biphasic T wave in lead V2
- Delta wave best seen in leads I, V2-4
- Notching initial portion of QRS in leads II, III, aVF
Interpretation
- Wolff-Parkinson-White (WPW) Syndrome
- Pre-excitation evidence by PR shortening, QRS prolongation and Delta Waves
What happened next ?
Given the history of near syncope with palpitations the patient was admitted under paediatric cardiology for monitoring of likely tachyarrhythmia.
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