Hey guys. Any doctors here that can tell me what this ECG reads? I am not sure myself and the ECG machine only said it was an atrial rhythm and an abnormal reading. Patient has been complaining of chest and epigastric discomfort for the past week and it radiates towards her jaw. Claims there is no pain or any other accompanying symptoms. No medical history or drug allergies either. The help would be appreciated.
desu with you op i'd be pretty fucking nervous if i found out my doctor was picking up medical advice from a Taiwanese goat showering board
>>18571552
Rhythm is fine. I'd be more concerned about the anterolateral ST depression in V2-V6.
>>18571552
Well you aren't really asking for an advice (like opinion or guidance) here... You could try /sci/ next.
But what I gathered from a quick google search and living with a pacemaker myself atrial rhythm means the impulses of your sinus (like a musical conductor or mini-brain of your heart) aren't moving directly to the specific heart-muscle they are meant but instead all the muscles react little to all impulses and that creates that wobble in between the pulses.
Also here that picture is called EKG.
"Abnormal reading" only means "we see everything isn't normal".
>>18571552
Its quality isn't very good, there are a lot of artifacts in the frontal derivations. Here's an interpretation. Take into account that the lack of squares and voltage/speed measurement might make some of the things I'm saying wrong. I'll assume it's going at 10 mm/sec and 10 mm/1mV.
Heart rate around 70/min, regular looking rhythm (can't tell exactly because lack of squares). Can't tell if it's a sinus rhythm (II derivation is unmarked and the filter isn't working properly) but it is an atrial rhythm (short QRS, P wave in the precordial derivations). All visible P waves seem to be followed by a QRS and PR interval seems normal-ish (but can't tell exactly because of the lack of squares). QRS interval looks normal in duration and progression. ST segment is depressed V3-V5 with a T wave inversion in V1-V5.
Context ?
>>18571688
When I say context I mean besides what you said already. Age of the person, cardiovascular risk factors (smoking, cholesterol, etc), prior medical history, etc.
>>18571560
Haha I'm not a doctor. But I am learning about reading ECGs.
>>18571616
They do look concerning. I just wonder what depression like this means. Could it potentially be NSTEMI?
>>18571688
She is 68 years old, claims to have no medical history and is not on any medication besides """"chinese medication""". No risk factors as far as we know. Could this possibly be an NSTEMI? One of the doctors from the hospital we sent her to said it was an AMI.
>>18571633
I see what you mean. Thank you. Ahh yes, I am aware they're called EKGs in some parts of the world, but where I come from they are widely referred to as ECGs.
>>18571727
It could be an NSTEMI.
How did it turn out?
>>18571727
ST depression is a non-specific indicator of ischaemia and with the history you've given then yes it could well be an NSTEMI or unstable angina.