A 17 year old female presents to ED complaining of chest pain and SOB on a background of ILI symptoms for the last 2 days. Vitals: HR 138 BP 110/70 Temp 37.7 RR 24. Below is the patients ECG:
Describe and Interpret the ECG:
Rhythm: Sinus tachycardia
Axis: Normal Axis
T wave inversion II, III and aVF and V3-6
The above ECG shows a sinus tachycardia with T wave inversion inferolaterally. In the clinical context this might be related to a myopericarditis. Rate related ischaemia is another likely cause. PE should be considered but less likely in this clinical context.