ECG of the Week - 29th October 2018 - Interpretation

This ECG is from an 81 yr old female who presented complaining of intermittent chest pain and dysponea. She has a history of T2DM, hypertension and asthma.

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Rate:

• Ventricular rate 48 bpm
• Atrial rate 94 bpm

Rhythm:

• 2 : 1 AV Block

Axis:

• LAD

Intervals:

• PR - Normal when associated with QRS
• QRS - Prolonged (130ms)

Additional:

• Voltage criteria LVH aVL >11m

Interpretation:

• 2:1 AV Block

What happened ?

The patient was admitted and underwent an uneventful PPM insertion.

References / Further Reading

Life in the Fast Lane

• 2:1 AV Block 

Textbook

• Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.