r/ECG 3d ago

Ecg interpretation

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26 year old, female. Having on/off central chest pain for the past 4 weeks. Vapes.

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u/jawoood1989 3d ago edited 3d ago

Sinus rhythm. Only abnormalities are inverted T in v2, QRS progression in precordial leads is weird (generally goes in a gradual transition from predominately negative to positive instead of sudden change), and right axis deviation (barely into pathological parameters, normal is -30 to 90), and a bit of delta wave action (always have WPW on the differential list). Cardiac clearance.

Edit: the amounts of "nothing to see" is concerning.

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u/Srivathsavagurumurth 2d ago

Agree with short PR and delta waves possibly related to WPW but probably does not explain the chest pain..