Có phì đại thất trái, trục lệch trái và có thể nhồi máu cơ Có phì đại thất trái, trục lệch trái và có thể nhồi máu cơ Có phì đại thất trái, trục lệch trái và có thể nhồi máu cơ tim vùng dưới. Chú ý rằng sóng cuồng nhĩ thường âm ở tim vùng dưới. Chú ý rằng sóng cuồng nhĩ thường âm ở
DII, như trong trường hợp này.DII, như trong trường hợp này. DII, như trong trường hợp này.
Atrial flutter. Don't miss hidden atrial (F) wave just after Atrial flutter. Don't miss hidden atrial (F) wave just after Atrial flutter. Don't miss hidden atrial (F) wave just after QRS. This is atrial flutter with 2:1 conduction. Note that QRS. This is atrial flutter with 2:1 conduction. Note that with atrial flutter there aren't P waves per se but atrial with atrial flutter there aren't P waves per se but atrial waves. So if you talk about atrial flutter do not say "the P waves. So if you talk about atrial flutter do not say "the P waves...." since once you say P wave, the informed waves...." since once you say P wave, the informed listener will probably assume it's not atrial fibrillation or listener will probably assume it's not atrial fibrillation or atrial flutter. On the other hand, depending on whom you atrial flutter. On the other hand, depending on whom you are talking to, this may not be an issue. Also note left are talking to, this may not be an issue. Also note left ventricular hypertrophy (LVH) and left axis with possible ventricular hypertrophy (LVH) and left axis with possible prior inferior wall myocardial infarction (MI) here. Note prior inferior wall myocardial infarction (MI) here. Note that typical flutter waves have negative polarity in lead II, that typical flutter waves have negative polarity in lead II,
as is the case here. as is the case here. as is the case here.