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Conclusion: Rate Related VS Primary ST-T Changes
This is the conclusion to our previous case, “RATE RELATED VS PRIMARY ST-T CHANGES“. Check it out before you read this final portion. This was the initial 12 lead ECG obtained by EMS prior ED arrival: There is an irregularly irregular tachycardia with no signs of P waves, which the Lifepak 15 determined to […]
Understanding Digoxin
Most of us have heard of, or encountered a patient taking Digoxin at some point in our careers. But, do we understand what it is and how it affects our patient? Digoxin (Lanoxin), is a Cardiac Glycoside, derived from the foxglove plant, Digitalis. Although not as common as it was in the past, this medication […]
EMS 12-Lead
Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, ResuscitationRecent Posts
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kevin
80 Year Old Female: “Rapid Heart Rate”
RBBB - I.V., serial 12-leads, oxygen-etco2, position semi-fowlers, bilateral BP, patch EP for consultation if transport is 30 minutes.
2019-02-25 01:16:26
80 Year Old Female: “Rapid Heart Rate”
RBBB - I.V., serial 12-leads, oxygen-etco2, position semi-fowlers, bilateral BP, patch EP for consultation if transport is 30 minutes.
2019-02-25 01:16:26
Goran
80 Year Old Female: “Rapid Heart Rate”
No sinus rythm,but rather atrial flutter with Mobitz type 1 - Wenkebach phenomen
2019-02-20 15:29:04
80 Year Old Female: “Rapid Heart Rate”
No sinus rythm,but rather atrial flutter with Mobitz type 1 - Wenkebach phenomen
2019-02-20 15:29:04
Goran
80 Year Old Female: “Rapid Heart Rate”
It is regularly irregular rythm.It seems like Mobitz type 1 - Wenkebach ,secondary to sinus tachycardia.It is visible P wave in V1 lead.We should find primary cause of sinus tachycardia?
2019-02-20 15:17:14
80 Year Old Female: “Rapid Heart Rate”
It is regularly irregular rythm.It seems like Mobitz type 1 - Wenkebach ,secondary to sinus tachycardia.It is visible P wave in V1 lead.We should find primary cause of sinus tachycardia?
2019-02-20 15:17:14
Paul
80 Year Old Female: “Rapid Heart Rate”
On first glance it looks like afib rvr new onset. Without marching the qrs complexes out though, it looks like they are pretty regular, like an accelerated junctional rhythm with every 4th beat dropped. Looks like a p wave can be seen in v1/2, but not sure and I would print a longer strip out…
2019-01-22 13:42:57
80 Year Old Female: “Rapid Heart Rate”
On first glance it looks like afib rvr new onset. Without marching the qrs complexes out though, it looks like they are pretty regular, like an accelerated junctional rhythm with every 4th beat dropped. Looks like a p wave can be seen in v1/2, but not sure and I would print a longer strip out…
2019-01-22 13:42:57
Ken Grauer
58 Year Old Male, Workout Worry
@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24
58 Year Old Male, Workout Worry
@ Eli — I don’t see AFlutter. That is, I see no indication of regular atrial activity at a rate consistent with AFlutter. Instead, the rhythm is irregularly irregular without P waves = AFib at a controlled ventricular response. In my opinion, one doesn’t need Sgarbossa criteria here to activate the cath lab. So, yes the…
2018-09-13 02:09:24
