ECG case help

[ervieg]

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Hey I am really bad at ECGs, can someone help me with this one?

http://imgur.com/9ZA8p2U

 

[gutonc]

Bad EKG technique.

Next.

 

[P Diddy]

Hey I am really bad at ECGs, can someone help me with this one?

http://imgur.com/9ZA8p2U

do you have a murmur? or a tic?

p diddy

 

[ervieg]

20 year old healthy male. No murmurs.

 

[francisco84]

Along with what gutonc said: left/right arm limb lead reversal. Lead I should, usually, look very similar to lead v6 if the leads are placed properly.

Well done gutonc, I don't know too many poison pushers who would have gotten that

 

[Instatewaiter]

Along with what gutonc said: left/right arm limb lead reversal. Lead I should, usually, look very similar to lead v6 if the leads are placed properly.

Well done gutonc, I don't know too many poison pushers who would have gotten that

I don't think it's arm lead reversal. The P wave morphology/axis is fine. It should be inverted in lead I if it is arm lead reversal.

 

[Raryn]

The problem is that it seems to be in Norwegian 😉

 

[Instatewaiter]

I don't speak freaky-deaky

 

[happymedgrad]

it's a crummy ecg but limb leads definitely look funky based on aVR.

i see an accessory pathway and very prominent u waves.