amasingh@alamedahealthsystem.org

A bunch of little things abnormal with this ECG

sinus tachycardia

S1Q3 with maybe a T3

STE in aVR and V1

mild diffuse STD in I, II, aVL, aVF, V3-V6

the R wave transition is early

and there is a PAC with normal conduction and a PAC with aberrant conduction

I vote PE – this ECG has 3 of the 5 common signs consistent with PE.