Answer: Paediatric Electrocardiogram for the week of Thursday October 26th 2006

Paediatric Electrocardiogram of the Week

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Answer for: October 26th
Sinus rhythm. Heart rate 90. QRS axis +60
PR 160ms. QRS 110ms. QT/QTc 340/420
Possible left atrial hypertrophy
Left ventricular hypertrophy
Abnormal repolarization with ST elevation and large T wave voltage.

Comment: October 26th 2006
In the early stages, ECG changes of hypertrophic cardiomyopathy are often more obvious than echocardiographic.
This girl's ECG shows LVH with significant ST/T waves changes. Her echocardiogram showed a structurally normal heart with mild to moderate hypertrophy of her left ventricular myocardium