ST-elevation V2/V3, why? The patient never had chest pain, echocardiography inconspicious. History of several syncopal episodes. But, there is something wrong with the ECG. We observe a sinus rhythm ECG, at first glance, there are ST-elevations in leads V2-V4. No ST-depressions are visible. Upon closer examination, a prominent T-wave is noted, starting immediately after the QRS complex. The ECG computer erroneously indicates a significantly shortened QT and QTc interval. Upon remeasurement, the QT interval should be around 500 ms, and thus the QTc interval around 510 ms, which is markedly prolonged. This is indicative of LQTS Type I, and the prominent T-wave may mimic cardiac ischemia. Never fully rely on the ECG computer's findings.
- Dr A Röschl's blog
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