ECG Strip 32

 

ECG Strip 32 - ventricular extrasystoles pulmonary embolism
 

ECG recorded by a 50 years old patient after a sudden syncope in surgical inpatient department, where he was hospitalized after surgical intervention of a hand phlegmon. The patient does not complain about chest pain but he suffers from shortness of breath and cyanosis of lower extremities. The ECG shows a sinus rhythm with multiple ventricular extrasystoles (wide QRS complexes). Here is a slight sinus tachycardia and the characteristic S1Q3T3 pattern. These findings are typical for a serious pulmonary embolism that is later confirmed by CT angiography.