ECG

WPW EKG 1, initial EKG. JETem 2016

Wolff-Parkinson-White Syndrome: Electrocardiogram

Brianna Miner*, Jonathan Patane, MD*, and Carrie Chandwani, MD*

DOI: https://doi.org/10.21980/J8201KIssue 1:2[mrp_rating_result]
The initial EKG showed wide complex, irregular tachycardia > 200 bpm (EKG 1). Given the possibility of Wolff-Parkinson-White (WPW), procainamide was given to the patient. The patient’s heart rate responded and decreased to 120-140 bpm with narrowing of the QRS complex. A repeat EKG showed narrow complex tachycardia without P waves approximately 120 bpm (EKG 2). Once the procainamide infusion was complete, the patient had converted to sinus rhythm with a delta wave now apparent, consistent with WPW (EKG 3).
Cardiology/VascularVisual EM
Creative Commons images

Acute Pericarditis: Electrocardiogram

Jason Mefford, MD* and Shannon L Toohey, MD*

DOI: https://doi.org/10.21980/J8059QIssue 1:1[mrp_rating_result]
The ECG shows diffuse ST- elevation. The patient also has mild PR-depression, most notably in the inferior and lateral leads. The patient also has minimal PR elevation in lead aVR. The patient was diagnosed with acute pericarditis (ECG stage 1).
Cardiology/VascularVisual EM