The following ECG is taken from a 19 year old male who presented with shortness of breath and chest pain in the context of a current URTI.
On examination he looks well, his vital signs are as follows:
HR 80 BP 129/76 RR 16 Sats 97% RA T38.4.
Describe and interpret the ECG.
How will you investigate his chest pain and what are your main differentials?
NSR, LVH, atrial hypertrophy?, inverted t-waves in aVL
Given history of URTI, and current pandemic, one would be concerned about coagulopathy causing MI with the early changes in aVL, I would get serial ECG and troponins
Another ddx is pericarditis/myocarditis
he is hypertrophic, needs an echo, but maybe not urgently
And take covid swabs and wear appropriate PPE