Ok, I am wasting no time here... hot off the press with this case! A 63 year old female presents with palpitations, sudden onset about two hours prior to...
Okay, I donÂąt believe this rhythm is ventricular after looking at the 12 lead. This is recurrent for her and there is problem a re-entry pattern working here....
Hey Nick, These are gorgeous!!!! Tom G __________________________________ Do you Yahoo!? SBC Yahoo! DSL - Now only $29.95 per month! http://sbc.yahoo.com...
Nick, After looking at the 12 lead, this looks like AVRT, although I don$B!G(Bt recall how to distinguish between antidromic and orthodromic AVRT. I could be...
Hmm. Now I think this patient needs to goto the EP lab then get the ablation done :P Besides that I do feel that there are p waves and I feel it is regular,...
I am trying to get the smile off my face.... Jenny: You sound like your headed right up my alley. The computers interpretation is wrong (i.e. if in doubt, call...
Nick; Somehow I managed to either miss or accidentally delete the original strips to the Sept. stuff. Can you either refloat them or just resend them to me at...
Jcbartus@...
Sep 1, 2003 9:25 pm
563
The ED nurses and physician quickly got a line started, prepared a BVM and came to the beside with Adenosine 6mgs, as I stood there with my 12 leads waiting...
Nick, Excellent case and review of the patient's presentation. I'm seeing P-waves with each complex, so there's obviously some sort of funky reentry stuff...
mvojtko@...
Sep 1, 2003 10:37 pm
565
(It will greatly facilitate this discussion if you guys print out the strips that Nick has sent us.) What a great series of strips and ECGs! Thanks for ...
It always pays to proof read the e-mail before you send it. There was an error in the last e-mail I sent. Instead of saying: "About the meds comments…I...
Ok, at long last... here is the final EKG that shows the underlying rhythm in all its beauty. The patient was given Amiodarone 400mg PO, as ordered by the...
Mark This is the best case I have come across in a while... still smiling! The labs were all WNL except for what I posted. Actually, there was only one dose of...
Nick, I have to chime in a little late (had a death in the family and was away from home for a while so I needed to catch up on A LOT of email). Anyway, ...
Hey guys, Here is an interesting ECG. It is not a trick or a bizarre presentation. It is a great learning case and should raise some interesting discussion....
Tom G Looks like I have the first glance here... First, I would call is NSR with widened PR interval suggesting 1st degree AV block and possibly incomplete...
Tom G: The underlying rhythm appears to be sinus. There is a left axis deviation. The QRS appears wide, perhaps >120 ms. There is poor anterior R wave ...
Hi Guys, You are both on the right track but you are also being led down a primrose (is that how you spell it?) path by the presentation. There is something...
Tom, You are actually pretty warm. You do have to think about AMI in any of these presentations. Whenever you see something unusual on an ECG ask yourself:...
A non-scientific factor is the "WOW, look at that" syndrome. It is amazing when lead II (which accounts for approximately 20% of change seen in an MI, the...
Looks like 1st degree AVB, with HR about 90 or so. Left axis deviation. LBBB (borderline). Poor R-Wave progression, suggestive of Anterior- Septal MI. DX:...
mvojtko@...
Sep 3, 2003 12:01 am
580
Electrical alternans? Mark...
mvojtko@...
Sep 3, 2003 12:06 am
581
Hi Guys, Rather than spend a lot of time rewriting everything, I am going to give you a link to get the answer. Just cut and paste this link into your...
Tom G.: The case was awesome! For everyone's benefit, how do you distinguish between LBBB and IVCD when there is a negative complex in lead V1 that has the...
Wow... in reading the case, I was thinking "I noticed that" about many of the findings but did not know to put the pieces together in this way.... thank you...
Hi guys, I'm glad you guys like the case! This was the case that really got me started on focusing on hyperK for clinicians using the ECG. The ECG is the...
I forgot to answer your question about the peaked T waves. Yes, the peaked T waves are part of the hyperK process. Good pickup. LBBB usually has diffuse, ...
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