Juvenile Notch
Report:
Sinus rhythm
Axis +90o
Early transition
Normal trace
Juvenile notch
Comment:
The interesting part of the ECG are leads V2 and V3, where a prominent juvenile notch of the T wave mimics 2:1 AV block. If only these two leads were available, it would require a change in heart rate to demonstrate that the notch is not a blocked P wave.
The trace is normal for age.
209. 12 year old with status asthmaticus requiring external chest compression and adrenaline to survive
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