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.
November 21st, 2008 at 2:05 pm
Attempting the 1st one:
There is left ventricle hypertrophy and myocardial infarction? Management, maybe give beta and calcium blockers?
Reply
November 21st, 2008 at 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
November 23rd, 2008 at 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
November 23rd, 2008 at 7:44 pm
beta blockers are given post -infarct..but not during acute attacks.
Reply