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: 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?
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.
Patient's clinical data: 76-year-old white man admitted to the ICU.
Hint: In Fig. 2, there is an extremely subtle clue on that ECG that I almost didn't notice. Laddergrams will be provided for both of these as the end of the week.
