ECG Guru - Instructor Resources - Ventricular escape beat https://www.ecgguru.com/ecg/ventricular-escape-beat en Sinus Rhythm With Ectopy https://www.ecgguru.com/ecg/sinus-rhythm-ectopy <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/sinus-rhythm-ectopy"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/MR%20Laddergram%20donated%20by%20Jason%20R.jpg" width="765" height="634" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p class="MsoNormal" align="left"><span style="font-size: 10pt; font-family: Verdana, sans-serif;">We originally published this ECG in 2012.&nbsp; It was generously donated to the ECG Guru website by our friend and ECG Guru Extraordinaire, Jason Roediger. &nbsp;We are re-publishing it today, as it is a great ECG for illustrating how helpful laddergrams can be for showing conduction in dysrhythmias.</span></p><p class="MsoNormal" align="left"><span style="font-size: 10pt; font-family: Verdana, sans-serif;">This ECG has something for everyone:&nbsp; The rhythm is sinus, and there is a non-conducted PAC (beat number 3) after the second beat.&nbsp; Just after the next P wave, there is a ventricular escape beat which prevents that P wave from making a QRS.&nbsp; The eighth beat is a PVC.&nbsp; The eleventh is a conducted PAC. &nbsp;You can use this ECG to illustrate for your students the concepts of "escape" beats, refractory periods, and premature beats.</span></p><p class="MsoNormal" align="left"><span style="font-size: 10pt; font-family: Verdana, sans-serif;">There are ST changes that suggest coronary artery disease: the ST segments are flat in&nbsp;shape with a tiny amount of elevation in V1 through V4.&nbsp; The axis is normal, at the border of normal and left axis. It is difficult to see, but there appears to be a tiny r wave in Lead III, so we cannot say for sure if there is or was a pathological Q wave in that lead.</span></p><p class="MsoNormal" align="left"><span style="font-size: 10pt; font-family: Verdana, sans-serif;">The P waves are wide and "double" in Lead II and biphasic in V1, suggesting LV failure or mitral valve disease.&nbsp; However, the criteria for LV hypertrophy are not met.</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/235/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 Sinus Rhythm With Ectopy 1/5</option><option value="40">Give Sinus Rhythm With Ectopy 2/5</option><option value="60">Give Sinus Rhythm With Ectopy 3/5</option><option value="80" selected="selected">Give Sinus Rhythm With Ectopy 4/5</option><option value="100">Give Sinus Rhythm With Ectopy 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >3.1</span></span> <span class="total-votes">(<span >14</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-pZj6kidPGfcAa9bZhh_ghmPs9MkF6F5G3CA4TIHdQIo" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><div class="field field-name-field-taxonomy field-type-taxonomy-term-reference field-label-above"><div class="field-label">Related Terms:&nbsp;</div><div class="field-items"><div class="field-item even"><a href="/ecg/non-conducted-premature-atrial-contractions" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Non-conducted premature atrial contractions</a></div><div class="field-item odd"><a href="/ecg/pvcs" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">PVCs</a></div><div class="field-item even"><a href="/ecg/fusion-beats" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Fusion beats</a></div><div class="field-item odd"><a href="/ecg/ventricular-escape-beat" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Ventricular escape beat</a></div><div class="field-item even"><a href="/ecg/laddergram" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Laddergram</a></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%2Fecg%2Fsinus-rhythm-ectopy&amp;title=Sinus%20Rhythm%20With%20Ectopy"><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> Fri, 07 Aug 2015 02:56:29 +0000 Dawn 655 at https://www.ecgguru.com https://www.ecgguru.com/ecg/sinus-rhythm-ectopy#comments Jason's Blog: ECG Challenge of the Week for Nov. 4th - 18th. https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-nov-4th-18th <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-nov-4th-18th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201t%20ladder.png" width="765" height="499" alt="" /></a></div><div class="field-item odd"><a href="/blog/jasons-blog-ecg-challenge-week-nov-4th-18th"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/ECG%20of%20the%20Week%201t%20clue.png" width="769" height="668" alt="" /></a></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 class="userContent">This is a "Routine" resting 12-lead ECG I performed on a patient several months ago in the Outpatient ECG Lab.<br> <br> <span style="text-decoration: underline;"><strong>PATIENT CLINICAL DATA:</strong></span><br> 72-year-old white man; asymptomatic; resting comfortably in recumbent position.<br><br></span><span class="userContent">This is an exercise in "anomalous" beats. <br> <br> <span style="text-decoration: underline;"><strong>QUESTION:</strong></span><br>(1.)&nbsp; Specifically, what are 3rd, 4th, and 10th beats?<br><br>You may wish to review another ECG that I performed I few years ago:&nbsp; <a href="http://www.ekgguru.com/content/sr-ectopy-pac-non-cond-pac-pvc-ventricular-escape-laddergram" target="_blank">http://www.ekgguru.com/content/sr-ectopy-pac-non-cond-pac-pvc-ventricular-escape-laddergram </a><br></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/235/feed" method="post" id="fivestar-custom-widget--2" 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--4" 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 Nov. 4th - 18th. 1/5</option><option value="40">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Nov. 4th - 18th. 2/5</option><option value="60">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Nov. 4th - 18th. 3/5</option><option value="80">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Nov. 4th - 18th. 4/5</option><option value="100" selected="selected">Give Jason&amp;#039;s Blog: ECG Challenge of the Week for Nov. 4th - 18th. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >5</span></span> <span class="total-votes">(<span >1</span> vote)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit--2" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-TJjL8WNmWsdI94xdUzULQwfqBuZEvbCILjzqbzhxhUU" /> <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_2"> <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-nov-4th-18th&amp;title=Jason%27s%20Blog%3A%20ECG%20Challenge%20of%20the%20Week%20for%20Nov.%204th%20-%2018th."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> </span></li> </ul> Sun, 04 Nov 2012 00:46:41 +0000 jer5150 359 at https://www.ecgguru.com https://www.ecgguru.com/blog/jasons-blog-ecg-challenge-week-nov-4th-18th#comments