jer5150's picture

Jason's Blog: ECG Challenge of the Week for Oct. 21-28, 2012

Submitted by jer5150 on Sun, 10/21/2012 - 14:34

No clinical patient data available for this 12-lead ECG.

What does this tracing show?  Choose the correct answer from the list below.

(1.)  Sinus bradycardia with atrial bigeminy; conducted APBs; prominent U-waves; RBBB
(2.)  Sinus rhythm with 3:2 and 2:1 Type II AV block; RBBB
(3.)  Sinus rhythm with atrial bigeminy; both conducted and nonconducted APBs; RBBB

Acronyms:
APBs = atrial premature beats
RBBB = right bundle-branch block

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Oct. 7-14.

Submitted by jer5150 on Sat, 10/06/2012 - 16:19

Patient's clinical data:  87-year-old black man

Questions:
(1.)  What is this 12-lead ECG suggestive of? 
(2.)  What are some other differential diagnoses?

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Sept. 30th - Oct. 7th.

Submitted by jer5150 on Sat, 09/29/2012 - 10:17

This is another one of those instances where I fortuituously viewed this ECG the day it was performed in our triage department several years ago. I immediately knew what was happening here but apparently nobody in the emergency department saw the obvious clues.

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Sept. 23-30, 2012.

Submitted by jer5150 on Sat, 09/22/2012 - 12:11


Patient's clinical data:
75-year-old white man who presented to the emergency department.  The patient was ventricularly paced on an emergent basis and the indication was probable complete AV block with an ineffective junctional escape rhythm.  I don't believe this patient survived the admission of this hospital visit.    

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Sept. 16-23. What probable clinical disorder is this tracing suggestive of?

Submitted by jer5150 on Sun, 09/16/2012 - 10:34

Unfortunately this 12-lead ECG is over 20-years-old, so I have very limited information to go on but this is what I do know about it.

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Sept. 9-16.

Submitted by jer5150 on Sun, 09/09/2012 - 19:02

Patient's clinical data:  76-year-old white man admitted to the ICU.  

Hint:  In Fig. 2, there is an extremely subtle clue on that ECG that I almost didn't notice.  Laddergrams will be provided for both of these as the end of the week.

What is going on here?  

 

Dawn's picture

Do You Teach Basic or Beginner Classes?

Submitted by Dawn on Tue, 09/04/2012 - 15:44

Do you teach basic or beginners' ECG classes?  Sometimes searching online for good sample ECGs can be frustrating because the ECG Gurus out there usually post the interesting or unusual ECGs for others to see and voice their opinions on.  We do that on the ECG Guru site, with Jason Roediger's fascinating ECG Challenge every week.  But, what if you just need "the basics" to show your students, or to make practice packets?

jer5150's picture

Jason's Blog: ECG Challenge of the Week for Aug. 26 - Sept. 2.

Submitted by jer5150 on Sat, 08/25/2012 - 14:20

When I first came across this dramatic ECG during a database search, the descriptive words “gross” and “distorted” both

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