16-year old male presenting with syncope. Describe and interpret his ECG.
Describe and interpret this ECG
ECG ANSWER and INTERPRETATION
Main Abnormalities
- Markedly peaked T waves in V2-6.
- Extremely short QT interval (~240 ms).
In a patient presenting with syncope, this ECG pattern is very suspicious for the short QT syndrome.
Short QT Syndrome
CLINICAL PEARLS
When to Suspect SQTS
- Any patient with a QT interval < 330 ms.
- QT interval < 360 ms and convincing symptoms (syncope, cardiac arrest) or family history.
Differential Diagnosis
Emergency Physician in Prehospital and Retrieval Medicine in Sydney, Australia. He has a passion for ECG interpretation and medical education | ECG Library |