ECG of the Week – 10th August 2020

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?

1 thought on “ECG of the Week – 10th August 2020

  1. 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

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