A 60 year old marathon runner complains of dizziness episodes. On auscultation ejection systolic murmur is heard. ECG is done. Clinical diagnosis is?
Correct Answer: LVH with Valvular Aoic stenosis
Description: The ECG shows hea rate of 50/min with left axis. Patient is in normal sinus rhythm. QRS duration is normal. T wave inversion is noted in lead I, aVL and V5-V6 indicating possible ischemic changes. Depth of S wave in V1 =20mm Height of R wave in V5= 30mm SV1 + RV5/6(tallest R in either V5 or V6) >35 mm is diagnostic of Left ventricular hyperophy( Sokolov- Lyon criteria) The low hea rate is explained by high vagal tone seen in marathon runners.
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now