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?
Two more ECGs classified under the general heading: “Tracing suggestive of ____ ”. I like ECGs that strongly favor a very specific clinical disorder.
Jason's Blog: ECG Challenge of the Week, 6-8-12 INTERPRETATION:
1) In first half of strip: Normal sinus rhythm (rate = 100/min) with . . .
2) . . . bifascicular block—right bundle-branch block plus left anterior hemiblock
(RBBB + LAHB), left axis deviation (LAD) at -57 degrees.
3) In second half of strip: Sinus rhythm interrupted by a run of nonconducted atrial bigeminy (arrows (↓); see laddergram).
Jason E. Roediger, CCT, CRAT
