Friday, 29 November 2013

ECG of the Week - 2nd December 2013

This week's ECG is from a 68yr old female who presents complaining of palpitations intermittently over the last 4 days with a concurrent viral upper respiratory tract infection. She has a history of paroxysmal atrial fibrillation and mitral valve replacement (St Jude's) and medications include warfarin and sotalol.




Click to enlarge

Given that this week's ECG is a bit of a rhythm puzzler I've included a numbered rhythm strip version to aid in peoples written descriptions (I finally remembered Ken)


Click to enlarge


A 68yr old female presents to your Emergency Department complaining of palpitations intermittently over the last 4 days with a concurrent viral upper respiratory tract infection. She has a history of paroxysmal atrial fibrillation and mitral valve replacement (St Jude's) and medications include warfarin and sotalol.
Vital signs: BP 124/76 RR 18 Sats 96% RA Temp 36.8

Describe & interpret her ECG ?