Ecg: Those findings are not usual for the age but don't necessarily imply any specific pathology present. They need to put together with the rest of her clinical situation to assess whether any explanation suggests itself.
Answered 3/11/2014
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Pattern recognition: Ecgs cannot be taken apart to their pieces with great success. The best doctors interpret ecgs by recognizing patterns, and applying the picture, or pattern, to the clinical situation, which guides towards a proper diagnosis. Having said that, the combination of left axis deviation and an rsr' in v1 (IRBBB) is classic for the presence of an osmium primum atrial septal defect.
Answered 6/10/2014
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