elec alt LTX43E34L7F2V6UAGG3KYOE56DD6KJW7WI7FXVQ





Electrical alternans


A 56 year old man with breathlessness and raised JVP.



Pericardial effusion with electrical alternans


The QRS axis alternates between beats. In this example it is best seen in the chest leads where the QRS points in different directions!
This is rarely seen and is due to the heart moving in the effusion.



Thank you to Dr Mick Bialas of Llandough Hospital for this recording.








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