{"id":292,"date":"2015-10-05T00:48:35","date_gmt":"2015-10-05T00:48:35","guid":{"rendered":"http:\/\/torreyekg.com\/?p=292"},"modified":"2015-10-05T00:50:13","modified_gmt":"2015-10-05T00:50:13","slug":"ekg-of-the-week-5","status":"publish","type":"post","link":"https:\/\/torreyekg.com\/index.php\/2015\/10\/05\/ekg-of-the-week-5\/","title":{"rendered":"EKG of the Week #5"},"content":{"rendered":"<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/EKG-5.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-293 size-full\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/EKG-5.png\" alt=\"EKG #5\" width=\"648\" height=\"358\" srcset=\"https:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/EKG-5.png 648w, https:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/EKG-5-300x166.png 300w\" sizes=\"auto, (max-width: 648px) 100vw, 648px\" \/><\/a><\/p>\n<p>70-year-old woman with dyspnea.\u00a0What diagnosis belongs on her problem list?<\/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 is an excellent example of EKG changes of COPD.\n<p>Findings suggestive of COPD include (but you don\u2019t need to have all):<\/p>\n<ol>\n<li>P waves &gt;0.25 mV in II, III, or aVF (P \u201cpulmonale\u201d)<\/li>\n<li>Lead I sign \u2013 isoelectric P wave, QRS amplitude &lt;0.15 mV, and T wave &lt;0.05mV in lead I<\/li>\n<li>QRS amplitude in all limb leads &lt;0.5 mV<\/li>\n<li>QRS axis &gt; 90\u00b0 (right axis deviation)<\/li>\n<\/ol>\n<p>Just in case you\u2019re still not a believer, here\u2019s her CXR\u2026<\/p>\n<p><a href=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/EKG-5-xray.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-294\" src=\"http:\/\/torreyekg.com\/wp-content\/uploads\/2015\/10\/EKG-5-xray.png\" alt=\"EKG 5 xray\" width=\"212\" height=\"282\" \/><\/a><\/p>\n<p>Note the impressive changes of emphysema: flat and depressed diaphragms and the \u201cvertical\u201d heart.<\/p>\n<p><\/p><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>70-year-old woman with dyspnea.\u00a0What diagnosis belongs on her problem list?<\/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-292","post","type-post","status-publish","format-standard","hentry","category-ekg-of-the-week"],"_links":{"self":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/comments?post=292"}],"version-history":[{"count":3,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/292\/revisions"}],"predecessor-version":[{"id":297,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/posts\/292\/revisions\/297"}],"wp:attachment":[{"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/media?parent=292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/categories?post=292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/torreyekg.com\/index.php\/wp-json\/wp\/v2\/tags?post=292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}