ECG #42

DESCRIPTION:

• Sinus rhythm (ventricular rate 79 bpm)
• Very short PR interval (114 ms)
• Normal QRS axis (15°)
• Prolonged QRS duration (124 ms)
• Slurred upstroke to the QRS complexes
• Dominant S wave in V1
• ST-segment elevation with negative delta waves in leads III and aVF
• ST-segment depression with subtle biphasic T wave inversion in leads I and aVL
• Prolonged QTc interval 474 ms

INTERPRETATION:

Wolff-Parkinson-White Syndrome – Type B Pattern with pseudo-infarction pattern

CASE RESOLUTION:

…to follow!