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Thread: help needed understanding ECG

  1. #1
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    help needed understanding ECG

    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


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    Wrong forum.

    Goodbye


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    Respected Member kimmi's Avatar
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    Quote Originally Posted by bekki_85 View Post
    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 think it would be better if u go to ur doctor and ask them to explain it to u properly because we are not a medical forum and we might give u wrong info..


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    Administrator KeithD's Avatar
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    Maybe she thinks you are all nurses!!!

    Have you seen Rob's boil?
    Keith - Administrator


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    Moderator joebloggs's Avatar
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    Quote Originally Posted by bekki_85 View Post
    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
    off the top of my head, sounds like antro-lateral MI



    or so my misses says


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    Administrator KeithD's Avatar
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    If all the readings are zero.......
    Keith - Administrator


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    andypaul's Avatar
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    Quote Originally Posted by walesrob View Post
    Wrong forum.

    Goodbye

    Easy rob it does say advice about the job at the top

    Lets face it both of us haven't a scooby what it means i thought it was tagalog at first.

    Hopefully one of the Doc or nurses can help you bekki.

    Are you a student or need to know for medical reasons?


  8. #8
    Respected Member Piamed's Avatar
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    Quote Originally Posted by bekki_85 View Post
    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.
    Be responsible with little so that you can be trusted with much!!
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    Moderator joebloggs's Avatar
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    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


  10. #10
    Moderator joebloggs's Avatar
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    Quote Originally Posted by Win2Win View Post
    If all the readings are zero.......
    i've tired my misses cardiac arrest simulator on the pc

    i've not been able to save anyone upto now


  11. #11
    Respected Member Piamed's Avatar
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    Quote Originally Posted by joebloggs View Post
    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.
    Be responsible with little so that you can be trusted with much!!
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  12. #12
    Respected Member Piamed's Avatar
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    Quote Originally Posted by joebloggs View Post
    i've tired my misses cardiac arrest simulator on the pc

    I've not been able to save anyone up to now
    You have one at home? Cool!!!! Is your missus an CCU specialist Joe?
    Be responsible with little so that you can be trusted with much!!
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    Quote Originally Posted by andypaul View Post
    Easy rob it does say advice about the job at the top
    No it doesn't Andy, this thread is devoted to Filipino Nurses working in the UK and all it entails - such as registration, employment, etc, NOT medical procedures.

    I think its dangerous to be discussing complicated medical matters on this forum, as the wrong or incorrect information could potentially cause problems.

    My advice to the OP would be to consult a dedicated forum.


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    Moderator joebloggs's Avatar
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    your right rob, but the question could be from a medical test/exam, and i would be amazed if someone has managed to get hold of someones medical records and copied the info. if this was a real patient i wouldn't go on any forum asking advice about it.. especially a general filipino forum

    piamed no, my misses is a registered doc in the phils, but studying for her plab exams here... but taking her time , busy working, and looking after the kids


  15. #15
    Respected Member Piamed's Avatar
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    Quote Originally Posted by joebloggs View Post
    your right rob, but the question could be from a medical test/exam, and i would be amazed if someone has managed to get hold of someones medical records and copied the info. if this was a real patient i wouldn't go on any forum asking advice about it.. especially a general filipino forum

    piamed no, my misses is a registered doc in the phils, but studying for her plab exams here... but taking her time , busy working, and looking after the kids
    What you say is true. Oh, I wish the missus the best with the PLABs.
    Be responsible with little so that you can be trusted with much!!
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    Moderator joebloggs's Avatar
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    thanks, shes taking part 1 again next month, hope it will be 3rd time lucky, but i don't think she is revising enough to pass, as you need an above average mark to pass. so only a certain % above the average can ever pass that sitting of the exam


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    Respected Member Piamed's Avatar
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    Quote Originally Posted by joebloggs View Post
    thanks, shes taking part 1 again next month, hope it will be 3rd time lucky, but i don't think she is revising enough to pass, as you need an above average mark to pass. so only a certain % above the average can ever pass that sitting of the exam
    If she is struggling taking the exam and does not mind being in direct clinical practice perhaps she could be interested in working in a sort of parallel role within a CRO (Contract Research Organisation). I think her current international qualifications should be fine. It's a huge growth area and pays well. Just an idea.
    Be responsible with little so that you can be trusted with much!!
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  18. #18
    Moderator joebloggs's Avatar
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    oh my misses will pass it, not let her quit

    she been close to passing, just a matter of spending enough time studying ..


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    Respected Member vbkelly's Avatar
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    Quote Originally Posted by bekki_85 View Post
    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


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