i've just learned the 12 lead ecg. can anyone have a look if my interpretation is right?
the patient has a sudden onset of shortness of breath and left sided chest pain, the pain is not exacerbated by deep breathing, coughing or movement. troponin i is 2.0mcg/l and ck-mb is 1.0mcg/l
this is his ecg.
the rate is 60 bmp
r waves are the same distance, therefore this is regular.
rhythm is constant and every p wave before qrs.
each qrs complex is less than 3 small squares, therefore this is normal.
pr interval is less than 0.2 sec
therefore, the ecg is a normal sinus rhythm.
* the ecg shows st segment elevation and elevation of cardiac markers . so there is an isachemic infract, however,i'm not sure this patient has myocardial infarction or acute pericarditis? can anyone help?
Big Clues: The pain is not exacerbated by deep breathing, coughing or movement
Sep 19, '10
I cannot see the image that you tried to post, but we just went over ECG strips in class last week and I remember the instructor telling us that the elevated ST = MI... And that theory is supported by the elevated troponin, correct?