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BRAIN TEASER

Chances are that just the mere sight of the 12-lead ECG above has already piqued your interest in what will follow!  It was recorded during an actual code-blue and the patient expired a short time later but I'm posting it here in order to graphically illustrate my point.  Incidentally, the above ECG was diagnosed by my former Chief of Cardiology as "

jer5150's picture

All depends on how you define "degrees".

One of our local news channels was reporting widespread and record-breaking right axis deviation throughout central Virginia.  

References / Sources:
1.)  WRIC Richmond News and Weather - - WRICTV8 - Home
2.)  Blaufuss Multimedia - Heart Sounds and Cardiac Arrhythmias

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Jason’s blog: ECG Challenge of the Week for June 24 – July 1, 2012. Pinpoint the primary disturbance.

This patient was seen by his primary care provider (PCP) on an outpatient basis.  The PCP decided to send her patient over to me to perform a routine ECG and establish a baseline, hince the computer's statement below of "No previous ECGs available".  I printed out the above 12-lead ECG and became slightly concerned with the rhythm I was seeing.  Consequently, I also recorded six full pages of continuous rhythm (not shown here).  I don’t ordinarily resort to doing this

Dawn's picture

Dawn's Blog: NEW CONTENT ON ECG GURU

We have now rolled out a new version of the ECG Guru!  Nothing is lost, but much more new content to come.  Our primary goal is still to provide teaching materials to instructors who teach ECG and cardiac topics.   All our materials are free and free of copyright, and may be reproduced for purposes of teaching and learning.  In addition, we know that many students and practitioners come to the Guru for information.  We have many Gurus out there who participate on our Ask the Expert page, our Forum, and our Facebook site to help spread information.  You wil

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Jason's Blog: ECG Challenge of the Week for June 17-24. What "highs" and "lows" is this tracing suggestive of?

This week’s ECG is categorized under the heading:“Tracing suggestive of          This is a classical example of this pair of derangements.

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Jason's Blog: ECG Challenge of the Week for June 10-17. Why did the ventricular rate abruptly decrease?

 

From June 10, 2012:   As is the case with all practical blogs, I’m encouraging ECG Guru members to engage in active group participation.  Share your thoughts, observations, impressions, findings, and interpretations.  Feel free to compare notes with one another and pick each other’s brains.

Dawn's picture

Pacemaker Mediated Tachycardia

    Do you ever feel confused by pacemaker rhythms?  You are not alone!   Pacemakers are electronic devices, and have rapidly evolved in their capabilities.  Often, we call the manufacturer's representative to come and interrogate a patient's pacemaker to determine if it is behaving as it was programmed.  Without knowing the programming of the individual pacemaker, it can be hard to evaluate the patient's rhythm.

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Are You An ECG Instructor?

The ECG Guru site is really doing well!  We are reaching every continent (except Antarctica - what's up, Antarctica?).  I have received FaceBook "likes" and "comments" and many emails encouraging me to keep going with the site.  There are a great many of you joining the ECG Guru as Members, which I really appreciate. The purpose of joining is so that you may comment on the content - the ECGs, blog posts, forums, illustrations.  My dream is that instructors will help each other, and assist students, on this site.

Dawn's picture

Getting a Lot of Teaching Mileage Out of One ECG

I write a lot about teaching students at different levels.  I believe you have to teach at a level your students will understand, but also raise them up from the understanding they currently have. I am asked to teach a lot of "refresher" classes, but I always hope each student leaves with some NEW information.  My mentor, Donna Harden, often admonished me that I was "teaching at a level that was too basic".   I laughed and told her that I had a successful business preparing people to take HER classes!

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