Friday, 22 February 2013

ECG of the Week - 25th February 2013

No clinical information on this one.




Click to enlarge

3 comments:

  1. SG represents!
    Who cares if you're right - 1st post baby.
    Anyways, I go for complete HB... of the trifascicular variety.

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  2. 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.

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  3. 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)

    ACS, electrolyte disturbances? dig tox?

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