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Ähnlich wie ECG: Situs Inversus Atrialis
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ECG: Situs Inversus Atrialis
- 1. ECG OF THE WEEK DR.VIKRAMAN.G,P.G. PROF.S.SUNDAR UNIT
- 2. A 55 year old male patient with complaints of chest pain right sided associated with sweating, palpitation not radiating for the past 10 hours.
- 4. ECG findings; P wave-inverted in I,avL and upright in avR. PR interval-0.22sec QRS complex-QS in I,II,III,avF,avL,V5,V6 R wave in avR RS in V1 diminution of R waves from v1-6 ST segment- ST↑II>III,V4-6,I, ST↓ avR,V1
- 5. DIAGNOSIS Situsinversusatrialis with l-looping of the ventricles-Dextrocardia Acute IPWMI with RVMI (morphological RV)-Prox.RCA territory infarct Sinus Bradycardia/First degree AV block
- 6. confirmed by various serial ECGs
- 7. V4R V5R V6R V3R V3R Limb and chest leads in opposite sides Limb leads reversed
- 8. ST depression with R waves in V1,V3R,suggests posterior wall MI (mirror image of AWMI) ST segment Depression in V2<V1 In a dextrocardia with IPWMI suggests RVMI.
- 9. THANK U