Looks to me like a sinus rythm with an intermittant LBBB? Seems evidenced by the r and r1 you can see, and of course the widen ed QRS :) Mike MacKinnon ... ...
mike
mmackinnon@...
Jul 2, 2003 2:53 am
185
I'd really love to see the twelve lead or get the story behind this one, but to me it appears as if the patient was being paced slowly (unsure of the rate...
Looks like the baseline is a 1st degree block...interspersed with a run of 3rd degree block? Very interesting... Dave Dave Ferrand, MD PGY-1, Emergency...
Okay I've got the beginnin and the end is a Sinus Rythm with a LBBB. At least I think it is. I don't have calipers or a strip with me so it's tough to count...
Jcbartus@...
Jul 2, 2003 3:31 am
188
Hmmm... looks to me like LBBB with 1 degree block (bifasicular) is the underlying rhythm (its the most stable of the two) changing to 3rd degree with a...
Strikes me that the underlying rhythm is sinus with a first degree heart block and some sort of interventricular conduction defect. This is the cause for the...
EMTA1497@...
Jul 2, 2003 9:23 am
190
Hello I got this EKG while working last night. I thought it would be a good one for beginners to take a look at and see what you can find on here. It is fairly...
Ok, now here is an 'advanced' EKG, a little more challenging to read for a couple reasons... what do ya'll think? please ignore the dark shadow lines... darn...
Sorry to create an additional email for ya but I found the chart.... History of present illness: productive cough for about one week, brown sputum today, some...
You guys are doing great. Neil, for my own knowledge, how do you differentiate between LBBB and IVCD? The underlying rhythm is sinus with first degree AV...
Nick: Keep in mind that most of the time, 1ºAVB is pharmacologically induced, and is less a true "block" than a delay. You often hear cardiologists refer to ...
Michael: Sorry, no 12 lead for this patient. I collected this rhythm strip several years ago. Technically, this is a $B!H(Bsternal$B!I(B lead with the...
Chris: The stuff in the middle is, indeed, an arrhythmia. Tom ... From: Jcbartus@... [mailto:Jcbartus@...] Sent: Tuesday, July 01, 2003 11:31 PM To:...
... Tom; You really can't differentiate the IVCD from a BBB without a 12 lead. Therefore all wide complex ECG's on a rhythm strip are IVCD until proven...
EMTA1497@...
Jul 2, 2003 2:06 pm
200
... Measure the P-P interval within the rR' area in the middle of the rhythm strip. You will see the the P-P interval is the same as the "native P-P" interval....
EMTA1497@...
Jul 2, 2003 2:09 pm
201
Ok well here is my interpretation of this one: RAte: appears fast and ventricular (or BBB) as mentioned ~160 orso RHYTHM: Sometimes it appears as though there...
mike
mmackinnon@...
Jul 2, 2003 2:27 pm
202
erm, yes that was supposed to be ckmB :) ... From: mike To: ekg_club@yahoogroups.com Sent: Wednesday, July 02, 2003 7:08 AM Subject: Re: [ekg_club] Advanced...
mike
mmackinnon@...
Jul 2, 2003 2:28 pm
203
Neil: You're absolutely right about the AV dissociation, and the P waves marching through the strip. When I asked you to take it a step further, I was asking ...
John: Why multifocal? Tom ... From: John Gentzel [mailto:john_gentzel@...] Sent: Wednesday, July 02, 2003 9:42 AM To: ekg_club@yahoogroups.com Subject:...
And what would make it an escape rhythm as opposed to a short run of VT? Tom ... From: John Gentzel [mailto:john_gentzel@...] Sent: Wednesday, July 02,...
... It would be difficult to state catagorically but I would bet on ventricular beats as the source of the five beats in the middle of the rhythm strip. Neil...
EMTA1497@...
Jul 2, 2003 3:31 pm
207
Atrial Flutter with 2:1 block. No other findings are significant until the rhythm is controlled and the F waves aren’t altering the appearance of the QRS. ...
Tom, Yeah, I$B!G(Bve noticed that some MCL$B!G(Bs won$B!G(Bt pick up pacer spikes as readily as others (I was guesstimating that it might have something...
Tom I would call it an arrhythmia because it is a more rapid rate then the sinus portions, too fast for an escape... Ok, so we have a sinus rhythm with PR...
Michael: This patient was on the cardiac step-down unit. While it is possible that the patient had a recent history of anteroseptal MI, he would not have been ...
Nick: You are exactly right that the 5 complexes in the middle of the strip represent an arrhythmia rather than an escape rhythm. If the arrhythmia was...
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