Monday, October 12, 2009

ECG interpretation??

I'm having trouble with ECG interpretation. If a patient has:
" high take off and ST elevation in leads III, V2 and V3"What would that suggest? I know ST elevation means infarction, but what does "high take off" mean?Thanks.
Answer:
Lead 3 is an inferior lead, and V2 and V3 are anterior. What this likely means is that there is a full thickness infarct (ST Elevation is indicative of full thickness infarct) in the right ventricle, and an ECHO or possibly a nuclear medicine (MIBI) scan should be performed to confirm the diagnosis.
High take off = early repolarisation
i would assume without seeing it that the QRS complex is a tall, sharp tracing, or is it the P wave? you are correct about the ST elevation, but lead II is the most diagnosising lead. my uncle just died from an MI and had a 12 lead done the day before that showed a inverted T wave, I can't believe he wasn't admitted from the office, cause he died suddenly at age 47 the next morn at 9am while driving. Here is a good website that I like to refer to, http://www.ecglibrary.com/ecghome.html...

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