tag:blogger.com,1999:blog-549949223388475481.post2631178642297507417..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: Why does this young male with chest pain have a tall R in V1, and lateral Q waves?Unknownnoreply@blogger.comBlogger3125tag:blogger.com,1999:blog-549949223388475481.post-90918708070266739932017-01-06T09:54:40.653-06:002017-01-06T09:54:40.653-06:00Yes, until you find that he had Duchenne MD and th...Yes, until you find that he had Duchenne MD and the ECG is classic for that.<br />Thanks, Jerry.<br />SteveSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-89670801169393113782017-01-04T15:06:35.260-06:002017-01-04T15:06:35.260-06:00Steve...
Sorry. I didn't see your comment abo...Steve...<br /><br />Sorry. I didn't see your comment about asymmetric septal hypertrophy (ASH). I'm not aware of any voltage requirement for the Q waves in the lateral leads to make (or rule out) the diagnosis. Obviously, if one is looking at a past history of documented DMD in the medical record, that would be enough. But not knowing that, I wouldn't be so quick to dismiss ASH.<br /><br />JerryJerry W. Jones, MD FACEPhttps://www.medicusofhouston.comnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-6069040911049164592017-01-04T15:01:07.092-06:002017-01-04T15:01:07.092-06:00Steve...
Based on the history of chest pain, the ...Steve...<br /><br />Based on the history of chest pain, the patient's young age and this ECG, I'd be concerned about an asymmetrical septal hypertrophy.<br /><br />Jerry W. Jones, MDJerry W. Jones, MD FACEPhttps://www.medicusofhouston.comnoreply@blogger.com