Happy New Year! Yes, actually now that I have a minute to type... There appears to be a familial pre-excitation as well as LQTS. I wonder if they are...
well the cardiologist happened to be there and we discussed this EKG. He first asked me what I though (which made my jaw drop until i realized he was being...
Happy New Year to all I am starting the year off with a party, an EKG party and you are all invited. We will start with a rhythm, followed by another... where...
Needless to say, there wasn't a 'Thank you' from the cardiologist Of course not.............................he's perfect and knows everything. Next time call...
mvojtko@...
Jan 2, 2004 1:04 pm
1572
Looks like a great job with interpretation and intervention. Personally, I may have tried a quick trial of a vagal manuver before the drugs, but they were...
mvojtko@...
Jan 2, 2004 1:04 pm
1573
Nick Like Mark, I would want to know what other drugs she is taking and how long she has been drinking and how much? I would also be thinking chronic ...
Mark and Kris Better pick these apart a little bit more..... where are your magnifying glasses and calipers?? ;-) What specific rhythm are you calling it?...
Nick, OK....this post will have comments. I did enlarge the tracings, "a" and "b" but are you saying these tracings are full of positional artifact? This is...
Kris As always, good thinking points you have given us here. These are Lead II. The whole arm lifting thing is still puzzling me... sure there was some...
So would you call this a WPW pattern?? I spoke with the internist tonight... who said the cardiologist said there was no problems with this EKG. Do you agree? ...
Okay here I go. Here is my magnifying glass for "B" strip before the adenosine. Just looking at the rhythm, It possibly could be just me, but there is always...
Hi guys, What rhythm goes about 280 BPM? (Notice I did not say ventricular only) Take away the QRS complexes using your mind's eye. What does it look like? ...
Nick, I am also, eager to see the next EKG...so I won't make any additional attempts at a diagnosis but her HR dropping by 30-40 BPM for a few minutes when...
Let me start by saying that I am just an interested party to this. I am learning from your explanations and descriptions, comparing them to my own thoughts. I...
Nick, When administering Adenosine...the arm is lifted to help infuse the IV Adenosine. Is this what happened? Although her heart rate should have reflected a ...
Kris Adensoine was administered in the field, these events occurred in the ED. They are unrelated here. What do you think the underlying rhythm is? Remember,...
Nick, The clinical info, serial EKG's and your combined clues (Dr. G. is always present ) makes my following deduction easier....but still a newbie guess. ...
Kris Thank you for that, you are headed for probably the same direction as I would be. The only thing is I do not see the QRS wide enough to be a bundle branch...
Nick, I had thought of aflutter with 2:1 AV block ( because it would account for the regular rhythm with the QRS variations ) but then I focused on todays EKG,...
Wow! Cardizem? That is the last drug I would have selected. Certainly the patient is now in AF, but the emergency physician is in denial if he thinks the...
Wow! These strips are interesting! Could you please clarify which strip came first? I'm assuming it's this one unless you say otherwise: What lead are we...
Hi guys, Sorry I was out yesterday. It was some interesting discussion on the party time strips. Yes, I agree with Nick that it was 1:1 flutter that switched...
Tom, What do you think about this clinical presentation and a possible cocaine (plus polydrug use of marijuana and alcohol, et cetera) induced LVH(?) with the ...
Hi Kris, If you are referring to me (Tom G) then, yes, I think that it is probably related to substance abuse. One way or the other. Alcohol and cocaine can...
This reminds me of a case from Jeff Brosius at the old "Peachtree Street." The initial rhythm strip isn't available anymore, but the 12 lead is still there. ...
Tom, I was asking for some hints myself. I would still like to hear from some of the others. I know there was some artifact, but there is at least 2 mm of ST ...
Jason, I personally look for at least 2 mm of ST segment elevation in the precordial leads, especially lead V2. Regardless, the total absence of R wave...
Having problems with message search?
Fill out this form to ensure your group is one of the first to be migrated to the new message search system.
