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ecg from a 16 year old...
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ecg from a 16 year old...
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This 16 year old's ecg has caused some debate in our department - can I ask whether you think this is normal or abnormal ? sadian
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Forums » Open clinical » Cardiology » ecg from a 16 year old...

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ecg from a 16 year old...

posted at 10/12/2012 12:39 PM GMT on bmj.com
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First: 17/6/2011
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This 16 year old's ecg has caused some debate in our department - can I ask whether you think this is normal or abnormal ? sadian


Re: ecg from a 16 year old...

posted at 10/12/2012 5:23 PM GMT on bmj.com
Posts: 3045
First: 27/3/2012
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This ECG shows sinus bradycardia with respiratory sinus arrhythmia, the HR 48-52 bpm.
This should be considered a 'normal' phenomenon for this age of 16 years.

Re: ecg from a 16 year old...

posted at 10/12/2012 6:57 PM GMT on bmj.com
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First: 12/8/2011
Last: 12/12/2012
Peaked T waves? may/ may not be a normal variant.

Re: ecg from a 16 year old...

posted at 10/12/2012 7:07 PM GMT on bmj.com
Posts: 3045
First: 27/3/2012
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The 'T' waves are normal, not peaked, but usual in younger, thin chest wall persons. The 'T' waves are 'asymmetric', so normal.

Re: ecg from a 16 year old...

posted at 10/12/2012 8:12 PM GMT on bmj.com
Posts: 7
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I meant T waves not P.. T waves are peaked..

Re: ecg from a 16 year old...

posted at 11/12/2012 12:44 PM GMT on bmj.com
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So, what am I talking about?

Re: ecg from a 16 year old...

posted at 11/12/2012 2:57 PM GMT on bmj.com
Posts: 533
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This is a tiny copy, but how about the PQ-intervall - isn´t it rather short ? But I really couldn´t tell...need to talk to my ophthalmologist first.

Re: ecg from a 16 year old...

posted at 11/12/2012 4:00 PM GMT on bmj.com
Posts: 8
First: 11/12/2012
Last: 30/4/2013
In Response to Re: ecg from a 16 year old...:
This is a tiny copy, but how about the PQ-intervall - isn´t it rather short ? But I really couldn´t tell...need to talk to my ophthalmologist first.
Posted by Carolin


could be long QT interval

Re: ecg from a 16 year old...

posted at 11/12/2012 4:34 PM GMT on bmj.com
Posts: 8
First: 11/12/2012
Last: 30/4/2013
could be long QT interval

Re: ecg from a 16 year old...

posted at 11/12/2012 5:23 PM GMT on bmj.com
Posts: 13
First: 16/3/2012
Last: 9/4/2013
In Response to Re: ecg from a 16 year old...:
Well quite difficult to say with no other clinical hint. Anyway, I think the PR interval is short, or maybe I'm wrong.! This raises the possibility of The Lown Ganong Levine syndrome or a 'wandering pacemaker syndrome'. Some kind of pre-excitation. There is a small notch in the V1 as well; I would probably think this is normal but depending on the symptoms, I might even go down the route of an echo to rule out an ASD! The LGL syndrome is more likely as the PR intervals are the same. There is no specific change hinting at WPW (that is also a possibility) or anorexia nervosa or metabolic abnormalities or endocrine pathology such as Addison's.

Anyway, I think this very much depends on how the patient presents, and I would think more of some congenital problem due to the age.
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