ECG 134

ECG 134 A 60-year-old woman, with long-standing heart failure of uncertain cause, complains of anorexia, weight loss, and general weakness and lethargy. Does this ECG help with her diagnosis and management?

Answer 134

The ECG shows:

• Atrial fibrillation

• Coupled ventricular extrasystoles

• Q waves in lead VL (in the supraventricular beats)

• ST segment depression in lead V₆

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