Normal ecg [150 ECG] - Bài viết - Bệnh Học
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Normal ecg [150 ECG]

Cho điểm
Normal ECG
This ECG was recorded from a 30-year-old man who complained of chest pain: the pain did not appear to be cardiac in origin, and the physical examination was normal. Can this man be allowed to hold a commercial driving licence?



ANSWER 94

The ECG shows:
• Sinus rhythm, rate 62/min
• Normal axis
• Small Q waves, especially prominent in leads II, III, VF, V4–V6
• Otherwise normal QRS complexes, ST segments and T waves
Clinical interpretation
These Q waves are quite deep but only 40 ms in duration, and they are most prominent in the lateral leads. They represent septal depolarization, not an old lateral infarction.

What to do
The ECG is normal, and if the man has no other evidence of heart disease he can hold a commercial driving licence. If in doubt, an exercise test should be performed.

Summary
Normal ECG.
Nguồn: 150 ECG Problems (4th Edition)
Tác giả: John R. Hampton

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