{"id":564,"date":"2016-06-19T00:05:02","date_gmt":"2016-06-19T00:05:02","guid":{"rendered":"http:\/\/torreyekg.com\/?p=564"},"modified":"2016-05-09T00:26:13","modified_gmt":"2016-05-09T00:26:13","slug":"ekg-of-the-week-35","status":"publish","type":"post","link":"http:\/\/torreyekg.com\/index.php\/2016\/06\/19\/ekg-of-the-week-35\/","title":{"rendered":"EKG of the Week #35"},"content":{"rendered":"<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/06\/35.png\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/06\/35.png\" alt=\"35\" width=\"647\" height=\"357\" class=\"alignnone size-full wp-image-584\" srcset=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/06\/35.png 647w, http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/06\/35-300x166.png 300w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/a><br \/>\nWhat is the diagnosis associated with this EKG? <\/p>\n<div class=\"spoiler-wrap\"><div class=\"spoiler-head collapsed\" title=\"Expand\">Answer &amp; Explanation<\/div><div class=\"spoiler-body\" style=\"display: none;\"><br \/>\nThis EKG has several unusual findings \u2013 1) a significant right axis deviation, 2) upright QRS in lead aVR, and 3) inappropriate R-wave progression in the chest leads.  Remember that lead aVR is oriented opposite to other limb leads, and always has a negative P, QRS, and T wave in a normal EKG.  The appearance of a negative complex in I and upright complexes in aVR can be seen with switched limb leads\u2026<br \/>\n<a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/06\/352.png\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/06\/352.png\" alt=\"352\" width=\"431\" height=\"251\" class=\"alignnone size-full wp-image-585\" srcset=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/06\/352.png 431w, http:\/\/torreyekg.com\/wp-content\/uploads\/2016\/06\/352-300x175.png 300w\" sizes=\"auto, (max-width: 431px) 100vw, 431px\" \/><\/a><br \/>\nbut notice that the R-wave progression of the chest leads is normal when just limb leads are switched.\n<p>This challenging EKG is from a patient with dextrocardia.  It is advisable to place the chest leads in the right-sided array to get an improved diagnosis of ischemia and infarct patterns.<\/p>\n<p><\/p><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>What is the diagnosis associated with this EKG?<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-564","post","type-post","status-publish","format-standard","hentry","category-ekg-of-the-week"],"_links":{"self":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/564","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/comments?post=564"}],"version-history":[{"count":3,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/564\/revisions"}],"predecessor-version":[{"id":586,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/564\/revisions\/586"}],"wp:attachment":[{"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/media?parent=564"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/categories?post=564"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/tags?post=564"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}