Thanks Dr,
While I don't expect a follow-up....
I got a copy of the ECG traces and put together more details if anyone's interested. Since I don't have a scanner I've used a shorthand that I think might be able to be followed if I've got my QRS's right.
Trying not to be alarmist but silent MI (STEMI) or impending MI a possibility? What's with S waves?
I R5 S3
II Q 1 R15 ST 1 elevated
III Q 1 R 13 ST 1 elevated slurred J
V1 R 1 S 7 no T
V2 R 5 S 8 ST 1 elevated slow J point transition into T
V3 R 7 S 4 ST 2 elevated
V4 R 16 S 2 ST 2 elevated sharp transition at J
V5 tiny Q notch R 21 S1 ST 2 elevated sharp transition at J
V6 Q 1 R 21 ST 2 elevated sharp transition at J
aVR corresponding T attack concavity
aVL R 1 S 7 v small ST 1
aVF Q 1 R14 ST 1 elevated
Numbers are amplitudes in small squares
Any negative deflection is considered a Q even 1 small square
All 'ST' transitions early except aVF. Repolarization starts early on all T's except V1 where there's no T (doh?)
All T are asymetrical and peaky with concave attack and faster decay.
QRS duration appears a little broader on V1, V2 & V3
U waves on V2-V6
Sinus Arrhythmia 1, .88, .84, 1.04, 1.16, 1.16, 1.08, 1.08 (duration between 9 Rs over 10 sec)
Vent Rate 56
PR Interval 168
QRS Duration 88
QT/QTc 416/409
P-R-T axes 43 84 82
Machine said Borderline ECG
Thanks again
David
Hi David,
This is a good (but difficult) question. The truth is that this is often a judgment call based on your physician