Rate: ~35 bpm v-rate, ~70 bpm a-rate Regularity: regular P-waves: present, presumably sinus (tough to say for certain) PRi: 2 conducted (3rd and 4th QRS's), remaining non-conducted QRSd: wide @ 160ms
Axis: Left QTc: prolonged ST/T-waves: large bizarre changes
DDx: normal sinus rhythm with high degree AV-block, fusion (3rd QRS), and complete conduction (4th QRS). Stokes-Adams attack or electrolytes come to mind given no compensatory sinus response to profound ventricular bradycardia.
SR ~ 40/min. LAH. intraventricular conduction disorder, suggestive of RBBBB - Seems V2 and V3 lead have been misplaced (looking at R wave progression). 3rd degree AV block .
Impr: complete trifascicular block (with V2 and V3 lead misplacement)
SG represents!
ReplyDeleteWho cares if you're right - 1st post baby.
Anyways, I go for complete HB... of the trifascicular variety.
Rate: ~35 bpm v-rate, ~70 bpm a-rate
ReplyDeleteRegularity: regular
P-waves: present, presumably sinus (tough to say for certain)
PRi: 2 conducted (3rd and 4th QRS's), remaining non-conducted
QRSd: wide @ 160ms
Axis: Left
QTc: prolonged
ST/T-waves: large bizarre changes
DDx: normal sinus rhythm with high degree AV-block, fusion (3rd QRS), and complete conduction (4th QRS). Stokes-Adams attack or electrolytes come to mind given no compensatory sinus response to profound ventricular bradycardia.
SR ~ 40/min. LAH. intraventricular conduction disorder, suggestive of RBBBB - Seems V2 and V3 lead have been misplaced (looking at R wave progression).
ReplyDelete3rd degree AV block .
Impr: complete trifascicular block (with V2 and V3 lead misplacement)
ACS, electrolyte disturbances? dig tox?