This week’s free board review question…
An 18-year-old track athlete presents with syncope during a 440 m relay. He has an abrasion of the knee, but no other injury. He has not fainted before.
His ECG is shown (see Figure.)
His older brother died at age 29 from what was thought to be marijuana laced with cocaine, although the cocaine levels were low. The family could not relate any further history.
Which of the following findings, which are usually NOT picked up in a computer interpretation of the ECG, would be concerning in this patient?
Tachycardia with ST depression
Acute anterior myocardial infarction
Saddleback ST segments in V1- V3
A short PR interval
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