Incorrectly aligned fly leads inside the ECG machine causing 'ischaemic' changes
J Butler1, P K Pooviah, M Joglekar
1Department of Adult Medicine, Caerphilly District Miners Hospital, Mid Glamorgan, UK.
Abstract:
We describe a case in which a young woman was inappropriately diagnosed as having ischaemic heart disease after presenting with exertional neck pain and an abnormal ECG. Diffuse Q-wave and T-wave inversion changes were later attributed to erroneous placement of fly leads inside the ECG machine at a recent service. Clinicians should be aware of this uncommon cause of incorrect lead connections, which can result in unnecessary investigations and treatment.
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