5th out of 41 overall. Did better a few weeks ago especially on long range high power rifle with a 97/100 5x with iron sights. Reading EKGs is like competitive shooting. EKG interpretation requires taking into account age, sex, weight, lead placement, prior history ... Target shooting requires taking into account temp, humidity, wind direction, prior shot placement, etc. BTW can anyone tell me how to recover emails that I read on my blackberry first then when I go to find them on laptop they are gone. I didn't erase them from blackberry just read them. Or is this another aol issue. Thanks. Paul (PMMD)
On 07/04/2009, PMATERAMD@aol.com <PMATERAMD@aol.com> wrote: > On my way home from a 3 gun (pistol rifle shotgun) combat competition, it is > the 4th of July after all, on my blackberry now, I will take a look on my > laptop asap > Paul > PMMD > Sent from my Verizon Wireless BlackBerry > > -----Original Message----- > From: Klaus Skrudland <lapsklaus@gmail.com> > > Date: Sat, 4 Jul 2009 21:21:33 > To: <ekg_club@yahoogroups.com> > Subject: [ekg_club] Re: Rare ectopic rhythm > > > Really, no comments?? Hmm. > > > > > > > On Wed, Jul 1, 2009 at 12:56 PM, Klaus Skrudland > <lapsklaus@gmail.com>wrote: > >> Hi all. Just want to present to you a case of what I believe is a quite >> uncommon ectopic rhythm. >> >> The patient is a 55 y/o male with a well known paroxysmal atrial >> fibrillation. He uses flecainide and metoprolol and was admitted for >> onset >> of what he thought was atrial fibrillation. >> >> As you will see from the ecg, the ventricular rate is irregular. Right >> precordial leads show ectopic, positive P waves. PP intervals are regular >> with a rate of 230 bpm. When marching them out with a caliper (see the >> dots >> I made), they seem to march right through the QRS complexes and don´t >> seem >> to get conducted. However, there can´t be AV dissociation, as there is no >> evidence of an escape pacemaker present (and the ventricular rate is >> irregular). >> >> As a matter of fact, the P waves does seem to get conducted after all. My >> colleague Terje (the other Norwegian here in the club) pointed out that >> the >> PR interval in fact gets progressively longer. And at this point, I´m >> struggling to understand the rest of the mechanism. Most likely, this >> atrial >> tachycardia with some kind of Wenkebach conduction. >> >> Comments? Thoughts? Ideas? Anyone wanna make a ladderdiagram to explain >> the >> mechanism?! ;-) >> >> klaus >> > > > > -- > Mvh, > Klaus Nilsen Skrudland > > http://www.lapsklaus.com > http://ecgblog.com > + 47 99 38 67 55 > >
5th out of 41 overall. Did better a few weeks ago especially on long range high power rifle with a 97/100 5x with iron sights. Reading EKGs is like competitive...
Hi every one, How do you differentiate atrial ectopic beats from ventricular ectopic beats?. Any one can define me please?. Ventricular ectopic beats are...
... In the caes of a true atrial ectopic beat, the QRS will be preceded by a definite, upright P wave. P wave morphology may fulctuate (wandering pacemaker,...
Hi Jesse, I just wanted to clarify something you mentioned. Pwaves may be present in PVCs or PACS. One has to be careful to determine whether the Pwave is ...
... Nick, right on. Thats a great catch. It is important to determine wether the P wave is in fact associated with the QRS. Thanks for the correction....
... I'm just a lowly paramedic :-), and I just looked at Klaus attached file of the rhythm in question. V1 appears to display a 2nd degree type II AV blockade....
Hi Guys, I had a good job yesterday. My blog has the story and 3 EKG's for you to peruse. http://tassieparamedic.blogspot.com/2009/07/good-chest-pain-job.html ...
Dave- I'd like to see the RonT but the last link is not working for me.. klaus ... -- Mvh, Klaus Nilsen Skrudland http://www.lapsklaus.com http://ecgblog.com +...
Hi Klaus, Don't know what happenned to that link. Go to my blog via the first link and click on the second image for an enlarged version. My student cut it...
ST elevation in I and aVL means the LAD is occluded proximal to the first diagonal, which feeds the high lateral wall. ... -- Stephen W. Smith, MD Faculty...
Nice septal anterior MI, I had one back in March with similar symptoms and would probably have arrested had we not gotten there in time. Artery on the left...
Jesse - You're probably looking at the right ekg, but as you can see the AV ratio varies from cycle to cycle. The conduction is not 2:1. There also seems to be...
... Paul- Would it be too simple to call this rhythm a 2nd degree type I AV blockade? V1 appears to show a gradual lengthening of the P-R interval until, after...
Where is the attachment?? HAVAL LUTFALLA ... From: swalehin <drswalehin@...> Subject: [ekg_club] Re: Rare ectopic rhythm To: ekg_club@yahoogroups.com ...
This is an old thread. It has been discussed already. Sorry. ... -- Mvh, Klaus Nilsen Skrudland http://www.lapsklaus.com http://ecgblog.com + 47 99 38 67 55 ...
Welcome to the club... please post your name so we know who were responding to. There are a couple of things to look at. The width of the QRS, presence of or...
To me what I can crack is it's a indepedent ventricle and atrial rhythm. Somehow the morphology of P wave look like it come from sinus. (They're all the same...
Would somebody please send the strip to me. For some reason it wasn't attached or in the body of any of the emails. Gene ************** Looking for love this...
Klaus, Got the "not found on this server message. Can you try again? Gene ************** Looking for love this summer? Find it now on AOL Personals....
... Paul- Sorry for my delay in contributing to this case. I was apparently having some sort of server/conection problem. In ref to the attached rhythm, would...
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