Jason's Blog: ECG Challenge April and May, 2013.
Jason is taking a break (everyone needs one now and then). April's ECG will appear through May, as well. It's a good one!
Jason is taking a break (everyone needs one now and then). April's ECG will appear through May, as well. It's a good one!
At this time of posting, I currently have no clinical data for this patient. This ECG is of interest because of its arrhythmic and nonarrhythmic elements.
I can think of at least two possible explanations for the mechanism of this rhythm and both would benefit from being illustrated by a laddergram.
One mechanism is rather exotic and has not been previously seen here on this website or discussed in the various FB forums.
Patient's clinical data: 66-year-old white man.
Amongst the computer's several statements was the interpretation of "Undetermined rhythm". To the computer's statement, the reviewing cardiologist added the freehand text of "Abnormally slow" but failed to provide a diagnosis.
What is accounting for this pattern?
Patient's clinical data: 47-year-old black man. Another serial ECG (seen below) showed a supraventricular tachycardia (SVT) at a rate of 164/min that was diagnosed by an Electrophysiologist as atrioventricular nodal reentrant tachycardia (AVNRT). How does knowing the mechanism of AVNRT help you in determining the nature of the mechanism in this week's ECG.
Patient's clinical data: Unknown aged white man.
What well-known eponym can technically be applied to this 12-lead ECG? HINT: It takes on a somewhat unusual form here.
These are two 12-lead ECGs that I performed on two completely different patients several years apart.
Patient's clinical data (Top ECG):
57-year-old black man
Patient's clinical data (Bottom ECG):
67-year-old black man
Are both of these ECGs showing the same rhythmic pattern?
Patient's clinical data: 55-year-old white man admitted to the surgical intensive care unit (SICU).
Part of the computer's interpretation was:
Sinus tachycardia 1st degree AV block Occasional
Premature supraventricular complexes
DO YOU AGREE WITH THE COMPUTER?
A brief video tutorial on how to construct a laddergram