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Test yourself with this week’s ECG case. Then scroll down for a structured step-by-step interpretation and clinical pearl.
A 60 year of with a history of cancer presented with acute shortness of breath.
What’s the cause of the T-wave inversions?
– Heart rate/rhythm: sinus tachycardia
– Electrical conduction: normal intervals
– Axis: normal
– R-wave progression: normal
– Tall/small voltages: small precordial
– ST/T: primary antero-inferior TWI
cancer history with acute shortness of breath, sinus tachycardia and primary antero-inferior TWI = PE until proven otherwise. CT chest showed bilateral PE
Signs of acute RV strain include sinus tachycardia, new RBBB, new right axis or large S1, and primary antero-inferior TWI
