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Jason's Blog: ECG Challenge for the month of January, 2014.

Patient data:  64-year old man who, prior to this ECG, had been in normal sinus rhythm.  Whatever your level of sophistication in rhythm interpretation (i.e., basic, intermediate, or advanced), this ECG has a little bit of something for everybody.  Basic interpreters will undoubtedly recognize the dominant disturbance of rhythm.  Intermediate interpreters will probably add more descriptors to their interpretation that will better describe the overall pattern.  Advanced interpreters will recognize the unique nature of multilev

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Jason's Blog: ECG Challenge of the Week for March 24th - 31st.

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.  

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Jason's Blog: ECG Challenge of the Week for Jan. 13th - 20th.

Patient's clinical data:  46-year-old black man

The computer's interpretation was "undetermined rhythm". 

What is the source and mechanism of this rhythm?

 

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Jason's Blog: ECG Challenge of the Week for Jan. 6th - 13th.

This ECG was taken from an 87-year-old black man and was diagnosed by the reviewing cardiologist as "complete AV block".

Is that really the interpretation or is it something else?

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LYME DISEASE CAUSING AV BLOCK

We are now in the month of August. Lyme Disease Awareness Month was about 4 months ago in May but that doesn’t mean that the number of cases are in decline.  As a result of the mild winter, deer populations are thriving and consequently deer ticks are booming.   

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