Nurse Practitioner ECG practice

Posted

Specializes in Education, FP, LNC, Forensics, ED, OB. Has 30 years experience.

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.

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

Good luck and have fun!!!!!!!!!

sirI, MSN, APRN, NP

Specializes in Education, FP, LNC, Forensics, ED, OB. Has 30 years experience.

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:

ckh23, BSN, RN

Specializes in ER/ICU/STICU. Has 6 years experience.

Infero-lateral

hrtprncss

Specializes in ICUs, Tele, etc.. Has 15 years experience.

anterolateral with inferior involvement, but what happened to lead II I cant' see any elevation there ughhhhhh i need to review my 12 lead!!!

sirI, MSN, APRN, NP

Specializes in Education, FP, LNC, Forensics, ED, OB. Has 30 years experience.

This is not the easiest strip to evaluate, I know. Tricky. Do you think I would give you something easy? :lol2:

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

Good work!!!!!!!!!! :Melody:

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.

sirI, MSN, APRN, NP

Specializes in Education, FP, LNC, Forensics, ED, OB. Has 30 years experience.

My you guys are doing great.

There is a right on answer there from one of ya'll so far..

acute inferior infarct with right ventricular involvement.

hrtprncss

Specializes in ICUs, Tele, etc.. Has 15 years experience.

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

sirI, MSN, APRN, NP

Specializes in Education, FP, LNC, Forensics, ED, OB. Has 30 years experience.

The ST segments are very interesting in this strip giving one reason to suspect pericarditis.

sirI, MSN, APRN, NP

Specializes in Education, FP, LNC, Forensics, ED, OB. Has 30 years experience.

Must remember if pericarditis, the ST segments would most probably be elevated all around in multiple leads and VERY global concavity.

Siri...is this your daughter's EKG ? Just curious.

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