There were some ECGs that we looked at, as part of the ECG Quiz.
Here is one of those ECGs, to test your memory and to reinforce some of the most important things we learnt about this case.
A 68 yo woman presented with worsening SOB over the previous 24 Hours. She now also had chest pain and was speaking in very short phrases.
She was a smoker, with a past medical history of COPD and hypertension.
Her vitals were:
- HR 115
- BP 87/42
- RR 31
- Sats 94% on room air
- Temp 36.2
Her examination showed dual heart sounds, with some crepitations in the right base and her abdo was soft.
Her blood pressure dropped to 65/32 before peripheral inotropes were commenced.
Her ECG and Chest Xray are shown below. What is your diagnosis?
Small complexes and tachycardia = pericardial effusion.
The are Sensitive Criteria and Specific criteria for picking low voltage on an ECG.