Juvenile Notch

Report:

Sinus rhythm

Axis +90o

Early transition

Normal trace

Juvenile notch

Comment:

The interesting part of the ECG are leads V2 and V3, where a prominent juvenile notch of the T wave mimics 2:1 AV block. If only these two leads were available, it would require a change in heart rate to demonstrate that the notch is not a blocked P wave.

The trace is normal for age.

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