ECG Challenge: A Counterclockwise Rotation

Philip J. Podrid, MD


January 09, 2019

A 76-year-old woman is admitted to the hospital because of abdominal discomfort, nausea, vomiting, and abdominal distention. She is diagnosed with a small-bowel obstruction. She stated that she had undergone a cholecystectomy several years ago, but has never had any other medical problems or other surgeries. After admission, a 12-lead ECG is obtained.

Figure 1. Image courtesy of Dr Podrid


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.