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Post Syncope ECG Red Flags

Malcolm Thaler, MD and Matthew DeLaney, MD, FACEP, FAAEM
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No me gusta!

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What are the main disease processes we should look for in every post-syncope ECG? What can’t we afford to miss? Which subtle signs can point to a sinister diagnosis? In this segment, Malcolm Thaler and Matt Delaney review the most common and dangerous cardiac causes of syncope and how they may show up on ECG.

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Ian L., Dr -

Yes . Hypertrophic cardiomyopathy .Genetic Autosomal Dominant .Affects 1in 500 persons and has an annual mortality of 1-2 % .

Dagger Q waves less than 40 ms (one small square wide ) occurring in V4 V5 V6 aVL 11 111 aVf and of varying depth but quite perceptible .
Infarct Q's more than one square wide .
|/ Q less than 40 ms one square .
From Life in the fast Lane :Ed Burns last update August 29 2017 .

Ian L., Dr -

QT measured from the very beginning of the QRS to the very end of the T : \|....................|''''| .
Represents time taken for ventricular depolarisation to repolarisation .
The time of ventricular systole .
Normal QT just less than half the RR .
Ed Burns : Life in the Fast Lane November21 2017 .

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Good Samaritans Full episode audio for MD edition 206:06 min - 97 MB - M4AHippo PC RAP August 2018 Written Summary 511 KB - PDF

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