RATE: 8 x 6= 48
P WAVES:Upright in II and inverted in aVR. No extra p’s
QRS’s: Tall criteria for hypertrophy met S in V2 + R in V5 >35mm
ST-T: There is ST elevation in II, III, aVF, V5- V6, ST depression in aVL, V1-V3
PACING: Nil pacing spikes seen
There is widespread ST elevation, however there are also reciprocal changes. When there are reciprocal changes, ischaemia must be considered. However most people would have to say that pain that has gone on for so long in such a young person must be pericarditis. There was no pericardial effusion on emergency echo.
The ECG was shown to a cardiologist who asked for thrombolysis, which was given. Post thrombolysis, the ECG was the same, however the pain resolved.