Nurse Practitioner ECG practice

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Specializes in Education, FP, LNC, Forensics, ED, OB.

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!!!!!!!!!

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Specializes in Education, FP, LNC, Forensics, ED, OB.

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:

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Specializes in ER/ICU/STICU.

Infero-lateral

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Specializes in ICUs, Tele, etc..

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

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Specializes in Education, FP, LNC, Forensics, ED, OB.

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:

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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.

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Specializes in Education, FP, LNC, Forensics, ED, OB.

My you guys are doing great.

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

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acute inferior infarct with right ventricular involvement.

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Specializes in ICUs, Tele, etc..

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

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Specializes in Education, FP, LNC, Forensics, ED, OB.

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

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Specializes in Education, FP, LNC, Forensics, ED, OB.

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

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

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