ECG Guru - Instructor Resources - Electrical alternans https://www.ecgguru.com/ecg/electrical-alternans en Jason's Blog: ECG Challenge of the Week for Sept. 30th - Oct. 7th. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-sept-30th-oct-7th <div class="field field-name-field-blog-image field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/blog/jasons-blog-ecg-challenge-week-sept-30th-oct-7th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201o-.png" width="765" height="417" alt="" /></a></div></div></div><div class="field field-name-field-video-upload-api field-type-youtube field-label-hidden"><div class="field-items"><div class="field-item even"><div class="youtube-wrapper-imagehq"><img src='http://img.youtube.com/vi/_fO9Uvd40-A/hqdefault.jpg' class='youtube_hqdefault' /></div><br /></div></div></div><div class="field field-name-body field-type-text-with-summary field-label-hidden"><div class="field-items"><div class="field-item even" property="content:encoded"><p><span style="font-family: Arial; font-size: small;">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. <br><br><strong><span style="text-decoration: underline;">Patient's clinical data:</span></strong> 53-year-old white man with long 37-year history of tobacco abuse, hypothyroidism, and COPD. Patient stopped smoking 4 weeks prior to current admission. No definite fever. Had some intermittent CP. Lung nodules were identified in last 2 weeks and patient was scheduled for biopsy. Presented to the ED with SOB worsened X 5 days, coughing, sore throat, and difficulty swallowing. The ED physician's provisional diagnosis for this patient was pneumonia and subsequently the patient was given his first dose of antibiotics prior to his admission upstairs to the cardiac step-down ward. <br><br><strong><span style="text-decoration: underline;">Vital signs:</span></strong> <br>Temp: 98-degrees F<br>Pulse: 138/min<br>Resp: 22<br>BP: 131/88 <br>Alert &amp; oriented X 4<br><br><strong><span style="text-decoration: underline;">Question: <br></span></strong>(1.) What is causing the pattern seen in this ECG?</span></p> </div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/208/feed" method="post" id="fivestar-custom-widget" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--2" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 30th - Oct. 7th. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 30th - Oct. 7th. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 30th - Oct. 7th. 3/5</option><option value="80" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 30th - Oct. 7th. 4/5</option><option value="100">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Sept. 30th - Oct. 7th. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >3.5</span></span> <span class="total-votes">(<span >4</span> votes)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-aSdKBNiWMX1DF0PZqRXIWLSpjaTZIG0N34EIQ3jB5Sk" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_1"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fblog%2Fjasons-blog-ecg-challenge-week-sept-30th-oct-7th&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20Sept.%2030th%20-%20Oct.%207th."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> <script type="text/javascript"> <!--//--><![CDATA[//><!-- if(window.da2a)da2a.script_load(); //--><!]]> </script></span></li> </ul> Sat, 29 Sep 2012 16:17:33 +0000 jer5150 343 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-sept-30th-oct-7th#comments