Interpret this ECG

Comment

Comment by Subrahmanyam Karuturi on April 8, 2012 at 11:17am

This is a Dog's ECG. I posted this to stress the importance of "medical history taking". Never interpret an ECG or X-ray or CT scan or MRI without history. A disease is a constellation of signs, symptoms, lab values and radiographic findings. Never interpret anything in isolation. Always ask for comprehensive medical history. 

 

The medical history or anamnesis (abbr. Hx) of a patient is information gained by a physician by asking specific questions, either of the patient or of other people who know the person and can give suitable information (in this case, it is sometimes called heteroanamnesis), with the aim of obtaining information useful in formulating a diagnosis and providing medical care to the patient.

 

In case, if you want me to interpret this ECG in a vet point of view, this dog's ECG shows low amplitude QRS complexes and so you can think of Pleural effusion or Pericardial effusion or Obesity or Hypothyroidism or Pneumothorax or Diffuse myocardial disease or it may be a Normal variation. 

Comment by Md Fahamy Iskandar on April 8, 2012 at 10:54am

V4 - V6?

Comment by Bolognesi Massimo on October 27, 2011 at 2:06pm

ECG showing marked right-axis deviation of the P wave (negative in aVL and possible in lead I) and absence of the QRS complex in the precordial leads, V₄ through V₆. Lead aVR is similar to the normal aVL in the normal ECG. This finding is suggestive for dextrocardia with situs inversus. Is it correct ?

Comment by Hisham M Selim on October 21, 2011 at 5:51pm

Digoxin effect

Comment by Dr Birinder Singh Thind on October 20, 2011 at 8:52am

what happened to leads V4-V6 ???

RV strain pattern is here.

Comment by marionurse44 on October 15, 2011 at 9:56pm

Very good, short QT has Torsade points as well as LQT

Comment by Spiros Lappos on October 11, 2011 at 9:22am

RV hypertrophy,normal QRS axis, narrow q waves on I,II,III,aVF, short QT, wandering pacemaker.

I think I've seen an ECG morphology like this on the internet in a case of dextrocardia and situs solitus (long shot i know) but i cant find the link.