Can you interpret the ECG? #ECG #interpretation This is the Type A WPW syndrome in this video, characterized by short PR interval, delta waves, and upright R waves in V1.
Yes. In addition to changes mentioned in video, in WPW: There are discordant ST-segment and T-wave changes (i.e. in the opposite direction to the major component of the QRS complex) in WPW. Pseudo-infarction pattern in up to 70% of patients - due to negatively deflected delta waves in inferior/anterior leads (“pseudo-Q waves”), or prominent R waves in V1-3 (mimicking posterior infarction) And QRS prolongation > 110ms
Left-sided pathway.
WPW type A
Delta wave = WPW
Is there negative T waves in V1 V2 and V3?
Yes. In addition to changes mentioned in video, in WPW:
There are discordant ST-segment and T-wave changes (i.e. in the opposite direction to the major component of the QRS complex) in WPW.
Pseudo-infarction pattern in up to 70% of patients - due to negatively deflected delta waves in inferior/anterior leads (“pseudo-Q waves”), or prominent R waves in V1-3 (mimicking posterior infarction)
And QRS prolongation > 110ms
@PracticalMedicine Thanks for detailed answer.