ECG of the Week – 14th May 2018 – Interpretation

By | 16 mei 2018

This ECG is from a 68 yr male who presented with 24 hours of dysponea and palpitations.
No past medical history of note and he takes no regular medications.

Click to enlarge

Things to think about

  • What are the key ECG features ?
  • What are the potential reversible causes for these features ?
  • How would you manage this patient ?

Rate:

  • Ventricular rate 42 bpm
  • Atrial rate 84 bpm

Rhythm:

  • Regular atrial and ventricular activity
  • 2:1 AV block

Axis:

  • Normal

Intervals:

  • PR – Normal (~200ms)
  • QRS – Prolonged (140ms)

Additional:

  • RBBB Morphology
  • Prominent T wave lead III in relation to QRS height

Interpretation:

  • 2:1 AV Block

What happened ?

The patient was admitted under the cardiology team and telemetry revealed intermittent variable AV block (2nd and 3rd degree) and he underwent an uneventful dual chamber PPM insertion.

References / Further Reading

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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ECG of the Week – 14th May 2018 – Interpretation

By | 16 mei 2018

This ECG is from a 68 yr male who presented with 24 hours of dysponea and palpitations.
No past medical history of note and he takes no regular medications.

Click to enlarge

Things to think about

  • What are the key ECG features ?
  • What are the potential reversible causes for these features ?
  • How would you manage this patient ?

Rate:

  • Ventricular rate 42 bpm
  • Atrial rate 84 bpm

Rhythm:

  • Regular atrial and ventricular activity
  • 2:1 AV block

Axis:

  • Normal

Intervals:

  • PR – Normal (~200ms)
  • QRS – Prolonged (140ms)

Additional:

  • RBBB Morphology
  • Prominent T wave lead III in relation to QRS height

Interpretation:

  • 2:1 AV Block

What happened ?

The patient was admitted under the cardiology team and telemetry revealed intermittent variable AV block (2nd and 3rd degree) and he underwent an uneventful dual chamber PPM insertion.

References / Further Reading

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.

Geef een reactie

Deze website gebruikt Akismet om spam te verminderen. Bekijk hoe jouw reactie gegevens worden verwerkt.