Using The ECG in 20 Seconds Approach:
RATE: 6x 9 complexes = 54
P WAVES: Upright in II and inverted in aVR, so sinus. No extra p’s
QRS’s: Not too tall/small, wide/narrow or abnormal morphology.
ST-T SEGMENTS: There is ST elevation in V2-V6, I, II, aVL, however, there are no reciprocal changes. There is a QRT sign where the T wave shoots straight up, that may indicate ischaemia. The T wave is as the R wave in V4 again indicating ischaemia.
T-P SEGMENT: In a couple of the leads there is a small downsloping of the T-P segment which may be indicative of a Spodick’s Sign
PR/QT INTERVALS: All normal, although there are some leads with PR depression
PACING SPIKES: No pacing to be seen