Pattern recognition ECG

Question 1

Answer 1

HVG

• S wave in V1 + R wave in V5 > 35mm

Question 2

Answer 2

HVD

• Right axis deviation and a dominant R wave in V1 are signs of Right Ventricular Hypertrophy (RVH)
• Repol précoce : Concurrent T-wave inversion in inferior and right precordial (V1-3) reflect a Right Ventricular Strain pattern, and are another sign of RVH

Question 3

Answer 3

HyperK+

bradycardie, onde P aplati, QRS élargit, onde T pointues

Question 4

Answer 4

IDM latéral

ST elevation in lead I, aVL and V1-2
ST depression and T-wave inversion in lead III
Hyperacute T-waves and pathological Q waves in V1-2 — note the way that T waves “tower” over the preceding QRS complex in V1
Trace ST elevation in V5-6

Question 5

Answer 5

IDM postérieur

ST depression maximal in leads V2-4, without progression to V5-6

Question 6

Answer 6

IDM antérolatéral

BBG => critères sgarbossa pour IDM : > 1mm concordant ST elevation in leads V4-5 and aVL
Concordant ST depression in inferior leads III and aVF is suggestive of reciprocal change

Question 7

Answer 7

free