Eric hall
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EKG advice
- Thread starter Eric hall
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tpchristifulli
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Without a 12 it's hard to give you anything diagnostic. I would be suspicious of possible Left Ventricular Hypertrophy and some what appears to be S-T depression.
captaindepth
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First, this is a zoomed in view of the EKG because the size is amplified by 1.5x.
The rhythm is normal sinus at 76 bpm with ST depression in the inferior leads (3-4 mm of depression but that is with the amplified tracing) and what looks like a hint of ST elevation in the high lateral leads. It would be nice to see the whole 12 lead and at a normal size.
The rhythm is normal sinus at 76 bpm with ST depression in the inferior leads (3-4 mm of depression but that is with the amplified tracing) and what looks like a hint of ST elevation in the high lateral leads. It would be nice to see the whole 12 lead and at a normal size.
teedubbyaw
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Inferolateralseptalrightsided MI.
And a NSR.
And a NSR.
tpchristifulli
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I'm more interested in the blood stain on your couch?
captaindepth
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Well that escalated quickly
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Eric hall
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Thanks for the replies so far, sorry for not having a 12-lead but it's not the best monitor device. Also, that isn't blood merely a stain from the kids lol, I had to double check when I read that however
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Eric hall
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60 cycle interference. Is this from a patient, or your own ECG? It sounds like the latter.
Shishkabob
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NSR, LVH criteria present, ST-changes in inferior leads that are non-diagnostic.
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Eric hall
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Yeah it's the latter, it was plugged into a wall outlet charging, which seems to be a common issue.
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Remove whatever electronic device is causing the interference, and take it to your cardiologist. We don't offer medical advice here.
Anjel
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Woah there. Look who it is. I'm surprised you remembered your user name and password.
Christopher
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Zoll M/E-Series often exhibit 60-cycle interference when plugged into the wall to charge. I recommend unplugging it or ensuring the notch filter is active. Reviewing the 12-Lead's printout I do not see any mention of a notch filter / mains filter.
The limb leads are recorded in monitor mode, which on a Zoll E/M is pretty aggressive. Something like 1 Hz high-pass and 21 Hz low-pass. This makes for a very distorted view of both amplitude and ST/T-waves. Real time high-pass filters "shift" some of the signal in time, unfortunately the portions of the signal they shift are the portions which have the highest amplitude.
The 12-Lead looks pretty normal to me, excluding the 60-cycle interference. Slight sinus arrhythmia with normal variant ST/T-wave changes.
The limb leads are recorded in monitor mode, which on a Zoll E/M is pretty aggressive. Something like 1 Hz high-pass and 21 Hz low-pass. This makes for a very distorted view of both amplitude and ST/T-waves. Real time high-pass filters "shift" some of the signal in time, unfortunately the portions of the signal they shift are the portions which have the highest amplitude.
The 12-Lead looks pretty normal to me, excluding the 60-cycle interference. Slight sinus arrhythmia with normal variant ST/T-wave changes.