The following ECG is from a 50 yr old female who presented with multiple complaints including dysponea, joint pain, abdominal pain and chest pain.
Check out the comments from our original post here.Labelled Version Click to enlarge |
- Mean ventricular rate 60 bpm
- Regular atrial activity rate 60 bpm
- Atrial activity marked by red lines
- Irregular
- Complexes #1-3 sinus
- Complex #4 Premature junctional complex
- Narrow complex with no obvious preceding P wave
- Note non-conducted p wave within T wave
- Followed by compensatory pause
- Complex #5 Premature junctional complex
- Preceding P wave has very short pr (~70 msec)
- Complexes #6-7 sinus
- Complex #8 as per complex #4
- Complex #9 as per complex #5
- Complex #10 sinus
- Sinus complexes: Normal axis
- Sinus complexes (#1-3, 6-7 & 10)
- PR - Normal (~160ms)
- QRS - Normal (80ms)
- Premature junctional complexes (#4,5,8,9)
- PR - Absent P wave (#4,8) or very short (#5,9)
- QRS - Normal (80-100ms)
- Nil significant changes
- Complex #8 has partial RBBB morphology
- Sinus rhythm
- Frequent premature junctional complexes
Life in the Fast Lane
Textbook
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.
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