help needed understanding ECG

[Piamed]

can someone please explain to me the following ECG results..

On reaching the Accident Unit a twelve lead ECG shows sinus rhythm (heart rate 70 beats per minute) with ST elevation and T wave inversion in leads II, III and aVF, and a reciprocal ST depression in leads aVL and V2-V4.

thank you

HI Bekki

I'm a little concerned about telling you too much as I don't know who you are and who the person involved is. Or are you a medical/nursing student studying for an exam? Please contact me on tabya876 at yahoo dot com so I can know more if it's of a personal nature.

Generically, as it stands I imagine that the subject presented with moderate to severe chest pain and I'm assuming it was a resting sinus rhythm on an Eli 250 (Holter?) type device. The most important thing is that you have not mentioned QT Prolongation or TdP. This is good.

Elevation of the ST segment simply indicates some sort of acute or recent 'injury' or angina. You have not said how much the elevation was or anything about the Q wave.

Leads II, II, AVL and AVF are limb leads. V2 - V4 are chest leads. T wave inversion is again a sign of 'injury' or angina.

Hope this helps! If this is a real case, I pray the person is ok and wish them a full recovery.

[joebloggs]

piamed, i doubt this is a relative or friend of the poster, where would they get this infomation from ? mind you thou, they do leave the patients med records at the bottom of the bed , but have you ever tired reading thier writing

maybe they are a med student, like you've already said, my misses was surpised that someone would ask that, if they are trained, they should already know the answer..

i've manage to get me misses to look at my moms medical notes a few times thou

[Piamed]

piamed, i doubt this is a relative or friend of the poster, where would they get this infomation from ? mind you thou, they do leave the patients med records at the bottom of the bed , but have you ever tired reading thier writing

maybe they are a med student, like you've already said, my misses was surpised that someone would ask that, if they are trained, they should already know the answer..

i've manage to get me misses to look at my moms medical notes a few times thou

You are right, it's pretty basic stuff medically speaking but I am not sure how often general nurses read/analyse/interpret ECG readings.

Doctors and pharmacists are notoriously bad hand-writers.