Parkinsonâs Disease
Report:
Sinus rhythm 80/min
SVEB
Borderline (-30o) left axis deviation
Somatic 5/sec tremor consistent with Parkinsonâs disease
Comment:
Atrial flutter has the same rate â 300/min â as the extrapyramidal tremor of parkinsonism. In this trace, lead 3, neutral with respect to tremor, establishes the diagnosis of sinus rhythm there and, by inference, elsewhere.
A âcleanâ ECG, taken a week earlier, is shown below (Fig 160a).
160a. The tremor is visible as sharp little spikes; sometimes the ECG is more sensitive than clinical examination. 161. 52 year old lady with scleroderma
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