The computer interpreted this ECG as: Sinus bradycardia 1st degree AV block ST abnormality, possible digitalis effect Abnormal ECG When compared with ECG of(expunged) PR interval has increased
Patient's clinical data: 67-year-old white man with a history of COPD and CAD.
Unfortunately, due to the advanced age of this ECG (29-years ago), many details of the device will have to be left to speculation. I'm unable to retrieve any information about the patient other than the two diagnoses above.
How many different things can you spot in this 12-lead ECG?
Patient's clinical data: This 12-lead ECG is from an adult patient of unknown age and gender (at the time of posting). Active medications included Atenolol. Patient's only complaints and symptoms were cramps and palpitations in the form of "an occasional extra beat". This ECG was the patient's initial "baseline". Based on what the patient's primary care provider (PCP) misinterpreted in this ECG, the patient ended up having an erroneous diagnosis listed among their "active problems". Their computerized
I performed this ECG earlier this year in an outpatient clinic.
Patient's clinical data: 85-year-old white man; asymptomatic.
Questions? (1.) What rhythm is this tracing showing? (2.) What clue/sign is used to differentiate between the two anomalous beats (i.e., 4th and 6th beats). HINT: It's named after a part of a certain animal's anatomy.
This week, in addition to my own blog, I'm going to feature a guest case study by Guru member Vince DiGiulio, EMT-CC. This past Monday, Vince messaged me (along with Dr. Ken Grauer) on Facebook and requested my input and opinion on these serial ECGs. With Vince's blessing, he gave me permission to use any of his original 12-lead ECGs here on the Guru. Of his 6 ECGs, I've decided to post 4 of them here.
