 | Tim Mettem, Zac Robinson, Viet Tran A 60 year old female presents with headaches for the last 3 days. A 'routine' ecg is performed... |
Hx PC
She has also suffered blurred vision for a few months and intermittent headaches for which she was referred to the ophthalmologist. She denied any chest pain or dyspnoea but has a significant smoking history.
Her SBP was 240 and a neurological examination has yet to be performed.
She has also suffered blurred vision for a few months and intermittent headaches for which she was referred to the ophthalmologist. She denied any chest pain or dyspnoea but has a significant smoking history.
Her SBP was 240 and a neurological examination has yet to be performed.
Interpret the ECG
Rate: 75 BPM
Rhythm: Sinus
Axis: Normal (SE)
Intervals:
Rhythm: Sinus
Axis: Normal (SE)
Intervals:
- Normal (borderline short) PR, Narrow QRS, Normal QT
- ST Segments: STE in V1-3 ~2-3mm consistent with 'LV strain pattern' from abnormal replorisation in the context of LVH
- Symmetrical TWI in V4-6. Small TWI in I, II, aVF.
What's the significance of these findings for this patient?
Hard to say and concentrating on this too hard may miss the bigger picture.
The only abnormal finding at this stage is LVH - how complications of these manifests as headache and blurred vision is not obvious.
A CTB was performed given the presentation and was suggestive of PRES (Posterior reversible encephalopathy syndrome)
The only abnormal finding at this stage is LVH - how complications of these manifests as headache and blurred vision is not obvious.
A CTB was performed given the presentation and was suggestive of PRES (Posterior reversible encephalopathy syndrome)
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