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Rare ectopic rhythm   Message List  
Reply | Forward Message #12283 of 12557 |
Chest pain job, 3 x arrests and an R on T

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

Extra info, not on my blog post, is the patient was:
actually a Male
60 years old
Had lost 50Kg in last 2 years after gastric banding (down from 165kg)
has ? controlled Afib

The second image shows a nice R on T
http://1.bp.blogspot.com/_AuOignBm-6A/SlFWKjoz38I/AAAAAAAAACo/Etc7D3bgz7w/s1600-h/Vf_Arrest_0907_1.jpg

Can anyone tell my why an LAD occlusion would involve I & aVL ?
I think I need to brush up on my coronary artery anatomy...

Regards
Dave


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Mon Jul 6, 2009 2:07 am

tazambo
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Message #12283 of 12557 |
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... 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....
jesse12848
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Jul 6, 2009
12:33 am

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 ...
David Thomas
tazambo
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Jul 6, 2009
2:09 am

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 +...
Klaus Skrudland
lapsklaus
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Jul 6, 2009
7:24 am

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...
David Thomas
tazambo
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Jul 6, 2009
12:03 pm

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...
Stephen Smith
rpmpaddler
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Jul 6, 2009
1:38 pm

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...
Russell Stine
rj.stine
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Jul 7, 2009
12:00 am

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...
Klaus Skrudland
lapsklaus
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Jul 6, 2009
7:23 am

... 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...
jesse12848
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Jul 6, 2009
12:03 pm

... PAT WITH VARYING CONDUCTION. THIS EXPLAINS IRREGULARITY OF QRS COMPLEXES....
swalehin
drswalehin
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Aug 15, 2009
9:02 am

Where is the attachment??   HAVAL LUTFALLA ... From: swalehin <drswalehin@...> Subject: [ekg_club] Re: Rare ectopic rhythm To: ekg_club@yahoogroups.com ...
haval surchi
havalandonly...
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Aug 16, 2009
8:16 am

... any way,if this one reaches u,then my answer will b<PAT WITH VARRIABLE BLOCK/CONDUCTION....
swalehin
drswalehin
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Aug 16, 2009
11:46 am

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 ...
Klaus Skrudland
lapsklaus
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Aug 16, 2009
6:32 pm

--PAT WITH VARYING CONDUCTION. THIS EXPLAINS IRREGULARITY OF QRS COMPLEXES....
swalehin
drswalehin
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Aug 16, 2009
11:49 am

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...
Nikiah Nudell
mtparamednick
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Jul 5, 2009
6:15 pm

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...
suthaporn lumlertgul
ltongtaa
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Jul 5, 2009
7:26 pm

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...
wegandy1938@...
wegandy
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Jul 6, 2009
7:54 am

Gene, et al, here are the attachments again, now hosted on my own server, so everyone should be able to see them: ...
Klaus Skrudland
lapsklaus
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Jul 6, 2009
9:17 am

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....
wegandy1938@...
wegandy
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Jul 6, 2009
4:51 pm

My bad... Here it is: http://www.lapsklaus.com/ekg/EKG-scans/atrial_ectopic_a.jpg<http://www.lapsklaus.com/ekg/EKG-scanas/atrial_ectopic_a.jpg> ...
Klaus Skrudland
lapsklaus
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Jul 6, 2009
6:53 pm

... 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...
jesse12848
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Jul 11, 2009
12:07 am
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