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EM Blast by Tom Redfern - 7M ago

A 78-year-old woman presents to the emergency department with an 2-week history of shortness of breath on exertion.

Describe and interpret her initial 12-lead electrocardiogram:

The post ECG #49 appeared first on EM Blast.

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EM Blast by Tom Redfern - 1y ago

A 57-year-old man presents to the emergency department with a 3-day history of increasing dyspnoea and pre-syncopal symptoms.

Describe and interpret his initial 12-lead electrocardiogram:

DESCRIPTION:

  • Ventricular rate 127 bpm
  • Irregularly irregular rhythm with no discernible P waves
  • Northwest QRS axis (249°)
  • Prolonged QRS duration (128 ms)
  • Beats 11 through 13: broad complex tachycardia (150 bpm) with different morphology to remainder of ECG

INTERPRETATION:

  • Atrial fibrillation with aberrant conduction
  • Fast ventricular response
  • Non-sustained episodes of ventricular tachycardia (triplet)

The post ECG #44 appeared first on EM Blast.

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