Thanks for all the responses! Here is short version of the answer for those of you with ADD. Keep on reading for the details! Our patient had sick sinus syndrome with a sinus bradycardia on top of her malfunctioning pacemaker. She was admitted to medicine for CHF exacerbation. The inpatient team Read more…
So for this post… we’re going to combine some EKG action with some good ole’ CXR reading… Since we’re not just doing Rhythm Nation or X-ray Vision… we’re going to call it Rhythm Vision! Here’s the case: Your patient is little old granny, an 85 year old woman with a Read more…
Thanks for the responses on our last EKG case. To review, the patient was a 24 YO woman with PMH of asthma presenting with chest tightness, shortness of breath and wheezing. Her exam was significant for B/L wheezes. There was no LE swelling. Something about her presentation doesn’t Read more…
24yo F presents with SOB, wheezing and chest tightness. Exam shows tachycardia and wheezes. The above EKG is obtained. What is your DDx? Any other information about the patient you would like to know?
Here is the answer for our last EKG: Rate: 300 Rhythm: Sinus rhythm – although the P waves are difficult to discern in the rhythm strip, they are visible in V1. Mapping the P waves in V1 to the rhythm strip, you can see that the P Read more…
This patient was sent from GI clinic with the above EKG. The patient was completely asymptomatic except for occasional palpitations. What would you do if this was your patient in the ED?
Thanks for the responses! Here is the answer and case discussion EKG Interpretation – Rate – 70-80s Rhythm – no discernable P waves. Regular rhythm. No fusion or capture beats to suggest AIVR. Thus, the most likely diagnosis is an Accelerated Junctional Rhythm Axis – Extreme Left Axis deviation with Read more…
Our original case was that of a 59YO F with CP and SOB. She had a significantly abnormal EKG. Here are some additional pieces of information you obtain as part of her workup… Does this affect your interpretation of the EKG? What about the DDx? Her CXR… Her Read more…
Here’s this weeks EKG case! Thanks to Niki for submitting the case! This week we’ll try to not just interpret the EKG but use it in addition to other clinical findings to bring us to our diagnosis. 59yo F presents with a chief complaint of chest pain and shortness of Read more…
Thanks Dr. Grock and Dr. Freedman for your responses. Sorry for the delay in posting the answer. Before we do get to the answer… a little more of the history: Our patient was is an 18yo F who’s only past medical history if that of an arrhythmia 3 months ago in Read more…