Describe that ECG

[blindsideflank]

So this will be a little different from other ECG threads. Hopefully we are all familiar with reading a first degree block or A-fib. This thread is for you to describe more "advanced" ECG interpretations and the criteria you go off of.

Examples could be LVH and "all" of the presentations (not just R+S= >35mm)
other examples could include Wellens, pulsus alternans, WPW types, p mitrale, fascicular blocks, sgarbossa's criteria, Z-axis etc.

Add how you think this is important to our practice if it is not obvious.

 

[blindsideflank]

Clinical condition: P-mitrale, Left atrial enlargement (not necessarily hypertrophy) or a conduction delay (possibly due to infarct)


ECG findings:
1. Lead II- notched p wave greater than 3 mm wide (0.12s) (looks like an M for mitrale)
2. V1- biphasic p-wave with the second half being wider and deeper than 1mm/0.04s




enlargement and hypertrophy are often from a stenosed mitral valve
I believe some people read V1 differently but this is how i know it.

 

[blindsideflank]

Condition: P-pulmonale- Right atrial enlargement or conduction delay. Often caused by pulmonary hypertension and rarely infarct.

ECG findings:
1. Lead II-Peaked p wave with an amplitude > 2.5mm
2. unsure about this one- peaked p wave in V1 and V2 >1.5mm





Pulmonary hypertension: Chronic lung disease, Tricuspid stenosis, Congenital heart disease, Primary pulmonary hypertension

something like this (it shows 3mm here)