Q&A 3 : ECG

Posted by deel on Thursday, November 20th, 2008 and is filed under Medical Studies, Photo Gallery. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Q&A 3 : ECG

Its kind of quiet in Volgotimes lately?

So, lets have a quiz.

1)

This is suitable for Year 3,4,5,6

2)

This is suitable for Year 5,6

Click to enlarge

Questions

1. ECG interpretation

2. Your management

Answers will be out on Sunday. :)

Year 3, 4 and 5 are most welcomed to try. This quiz is meant to educate, without participation it would be meaningless. :)

4 Responses to “Q&A 3 : ECG”

  1. flowerhornNovember 21st, 2008 - 2:05 pm

    Attempting the 1st one:

    There is left ventricle hypertrophy and myocardial infarction? Management, maybe give beta and calcium blockers?

    Reply

  2. blackieNovember 21st, 2008 - 4:03 pm

    1. My attempt

    sinus rhythm with HR around 100/min. high T seen in I,II and all the chest leads. high T can be considered to be in aVF also. Reciprocal changes in aVR. ST segment elevation can be seen. non-Q.

    Ds: Anterior lateral myocardial infarction. Possible circular extensive MI (avF is counted)

    but this is a very early ECG, showing ST slowly moving up and Q is not formed yet. all this is acute stage. Don’t know how to say the diagnosis in english but in Russian, it would be циркулярный инфаркт миокарда в стадии повреждении.

    2. torsades de pointes. treat with magnesium sulfat.

    thanks for posting

    Reply

  3. deelNovember 23rd, 2008 - 7:14 pm

    1.
    R v5 >26
    S V1 and V2 > 20
    Sokolova index > 35
    ST elevation in I , II, avF , V3-6

    Left ventricular hypertrophy , anterior lateral myocardial infarction.
    As blackie said , this ecg shows the early hours of the MI

    Management :
    O2
    Aspirin
    Morphine + metoclopramide
    consider trombolytics or percutaneous coronary intervention

    2.
    Polymorphic wide complex tachycardia – torsades de pointes

    Management :
    MgSo4 2-4g iv
    If haemodynamic unstable – defib

    thanks for participating

    Reply

  4. deelNovember 23rd, 2008 - 7:44 pm

    beta blockers are given post -infarct..but not during acute attacks.

    Reply

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