From the information given there is no clue as to what is causing her
symptoms although angina remains a possibility.
The ECG grid does not correspond with the size of the QRS complexes.
I presume the heart rate is normal.
She needs further investigations. Blood tests (FBC, ESR, U&E, XDP,
LFT, TSH) and chest X-ray to assess heart size and mediastinum) and
transthoracic echocardiogram looking for pericardial effusion and to
assess right ventricle and aortic root. Depending on the results go on to
exercise ECG.
Rapid Response:
Needs further investigations
From the information given there is no clue as to what is causing her
symptoms although angina remains a possibility.
The ECG grid does not correspond with the size of the QRS complexes.
I presume the heart rate is normal.
She needs further investigations. Blood tests (FBC, ESR, U&E, XDP,
LFT, TSH) and chest X-ray to assess heart size and mediastinum) and
transthoracic echocardiogram looking for pericardial effusion and to
assess right ventricle and aortic root. Depending on the results go on to
exercise ECG.
Competing interests:
None declared
Competing interests: No competing interests