jer5150's picture

Patient's clinical data:  87-year-old black man

Questions:
(1.)  What is this 12-lead ECG suggestive of? 
(2.)  What are some other differential diagnoses?

Rate this content: 
Average: 3.7 (3 votes)

Comments

LBBB, POSS ANT MI, K+?, LAD, Sinus ryh. 

jer5150's picture

Far-advanced hyperkalemia in a patient with a potassium level of 8.5 mmol/L (normal range = 3.6 - 5.1)

Note the typical "Z-fold" pattern (especially in lead V4).

DDx would be accelerated idioventricular rhythm (AIVR).

 

Jason E. Roediger - Certified Cardiographic Technician (CCT)
[email protected]

All our content is FREE & COPYRIGHT FREE for non-commercial use

Please be courteous and leave any watermark or author attribution on content you reproduce.