Full 2L QBank
Medicine ECG and Arrhythmia 2 8994b12e

All are included in the differentials of this ECG except?

A
Wellen Syndrome
B
ICH
C
Apical Hyperophy of hea
D
Hypercalcemia
High-Yield Explanation
HR is 50/min with normal axis. Giant T wave inversions are noted in leads I, II, V2-V6. Giant T wave inversion are said to present if T wave is >10mm in depth. Giant T wave inversions : Wellen syndrome: T wave inversions in V2-V3 indicate critical narrowing of Left anterior descending aery. At high risk for developing anterior wall MI . ICH: T wave pattern Apical hyperophy of hea(not HOCM but a variant of same) Stokes Adam Syndrome WPW Hypercalcemia leads to QT shoening.

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