Feed Item
Added post  to  , EKG

What are things (at least 3) in this EKG that may give you clues about this patient's age?

  • 2
Comments
    • Respiratory variation of the heart rate suggest young in ag

      • 💓 2
      • Also great HRV (heart rate variability) means that the patient autonomic nervous system is well adapted and very responsive to the environment (young and healthy 👍✅)

        • 💓 2
        • Exactly!

          • 1
        • Thanks @Khaled Sleik, right on! Young patient.

          In addition to the(#1) respiratory variation in heart-rate described by Dr. Sleik (due to stronger autonomic influence on sinus node in younger patients), there is a relatively subtle, but noticeable (#2) minimal, concave ST elevation with distinct J point in several leads suggestive of early repolarization pattern (e.g., Leads V4-V6, II-III-AVF), which is a somehow prevalent in young African Amercian cohort, and finally (#3), a rightward QRS depolarization axis (between 80-90 degrees, with lead I is almost equal R and S) which is again more common in younger people compared to older people (as the axis shifts leftward as we get older).

          This EKG was done on a 22 year-old African American patient in the ED with URTI.

          • 💓 2
          Login or Join to comment.

          ScrubdIn

          Close