Exemplos | Examples

• Exemplo 1 | Example #1

Paciente masculino, 31 anos,  exame realizado para acompanhamento clínico.  Apresenta HAS e história familiar positiva de doença coronariana. Ao ECG, apresenta QRS alargado, com padrão rsR´ em V1 e ondas S empastadas em V5 e V6. Eixo mais negativo que -45º, desviado à esquerda, d com padrão qR em aVL, compatíveis com Bloqueio de Ramo Direito e Bloqueio Divisional Anterossuperior do ramo esquerdo. Observa-se, também, sobrecarga atrial esquerda.

A 31-year-old male patient cameundergoing in for a routineclinical follow-up.up Hisexamination. medicalHe historyhas includessystemic arterial hypertension and apositive family history of coronary artery disease. TheOn ECGECG, showedhe a right bundle branch block (RBBB) and left anterior fascicular block (LAFB). This was characterized by apresents widened QRS complex, anwith rsR' pattern in lead V1,V1 and slurred S waves in leads V5 and V6. TheAxis QRSmore negative than -45°, showing left axis was deviated to the left, exceeding -45 degrees,deviation, with a qR pattern observed in lead aVL.aVL, Additionally,consistent therewith wasright evidencebundle ofbranch block and left anterior fascicular block. Left atrial overload.enlargement is also observed.