Nurse Practitioner ECG practice

  1. 0 I thought it might be good practice for us to have an interesting clinical problem each week. Maybe even more often.

    Look at this ECG and decide what you think. Infero-lateral infarct, acute inferior infarct with right ventricular involvement or normal ECG.



    You can give your rationale if you so choose. If not, it will be given later.

    Good luck and have fun!!!!!!!!!
    Last edit by sirI on Aug 23, '05
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  3. Visit  sirI} profile page

    About sirI, MSN, APRN, NP

    sirI has 'many' year(s) of experience and specializes in 'OB, FP, LNC, Forensics, ED, Education'. From 'USA'; Joined Jun '05; Posts: 90,452; Likes: 24,030. You can follow sirI on My Website

    30 Comments so far...

  4. Visit  sirI} profile page
    0
    Any cardiac-types out there that want to take a look and answer?

    Come on guys..........gotta be a few out there that want to take the plunge and answer this. :wink2:
  5. Visit  ckh23} profile page
    0
    Infero-lateral
  6. Visit  hrtprncss} profile page
    0
    anterolateral with inferior involvement, but what happened to lead II I cant' see any elevation there ughhhhhh i need to review my 12 lead!!!
  7. Visit  sirI} profile page
    0
    This is not the easiest strip to evaluate, I know. Tricky. Do you think I would give you something easy?

    Ya'll keep on with the replies. I will let you know what the answer is and the rationale.

    Good work!!!!!!!!!! :Melody:
  8. Visit  carachel2} profile page
    0
    Inferolateral with right ventricular involvement. I am hesitant to say that because there is no ST elevation in V2 or Lead 2 .....????

    The ST segments look kind of concave in their elevation and would make me curious about a pericarditis process....but that is probably reading way too much into the problem.
  9. Visit  sirI} profile page
    0
    My you guys are doing great.

    There is a right on answer there from one of ya'll so far..
  10. Visit  lyela} profile page
    0
    acute inferior infarct with right ventricular involvement.
  11. Visit  hrtprncss} profile page
    0
    wouldn't the st waves be more global if it was pericarditis meaning more apparent to most or all the leads...correct me if im wrong
  12. Visit  sirI} profile page
    0
    The ST segments are very interesting in this strip giving one reason to suspect pericarditis.
  13. Visit  sirI} profile page
    0
    Must remember if pericarditis, the ST segments would most probably be elevated all around in multiple leads and VERY global concavity.
  14. Visit  carachel2} profile page
    0
    Siri...is this your daughter's EKG ? Just curious.
  15. Visit  sirI} profile page
    0
    Quote from carachel2
    Siri...is this your daughter's EKG ? Just curious.
    No, thank goodness.

    She had MANY runs of V-Tach and Bigeminy, however. I should crop hers and give it as a clinical case, huh?

    She is doing fairly well now. I hope things calm down. You know she did not have SVT. The ablation was not successful.

    She has total left ventricular involvement.


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