What is the abnormality here?
ventricular tachycardia
—regular broad complex tachycardiac indicating a likely ventricular origin for the rhythm.
What is the abnormality here?
pulmonary hypertension after eg PE
- • Right axis deviation (QRS more negative than positive in lead I);
- • Positive QRS complexes (‘dominant R waves’) in V1 and V2 suggesting right ventricular hypertrophy; •
- ST depression and T-wave inversion in the right precordial leads (V1–3) suggesting right ventricular strain; •
- Peaked P waves (P pulmonale) suggesting right atrial hypertrophy.
Whta is teh abnormality here?
anterior MI
Acute anterior myocardial infarction—ST segment elevation and evolving Q waves (the fi rst QRS defl ection is negative) in leads V1–4
WHat is the abnormality here?
Acute infero-lateral myocardial infarction:
marked ST elevation in the inferior leads (II, III, aVF), but also in V 5 and V 6, indicating lateral involvement. There is a ‘reciprocal change’ of ST-segment depression in leads I and aVL; this is often seen with a large inferior myocardial infarction.
what is the abnormality here?
Right bundle branch block —broad QRS, M pattern in V 1 and sloped S wave (with the eye of faith, a ‘ W’ shape) in V 5. M aRR o W = RBBB
What is the abnormality here?
Left bundle branch block: wide QRS with a W pattern in V1 (slight notching in upstroke of S wave—clearer in V3) and the M pattern in V6. WiLLiaM = LBBB.
