Category: Rhythm Nation

Rhythm Nation: March 2017 Answer

ECG: NSR @ 90 bpm, normal axis, S1Q3T3 pattern   BACKGROUND S1Q3T3 was first described in 1935 in JAMA by Drs. McGinn & White They report a case series of 9 patients with pulmonary embolism (PE) and “acute cor pulmonale”…

Rhythm Nation: March 2017

It’s Sunday morning 10 am and a patient finally pops up on the whiteboard: “19 Y M, CHEST PAIN.” Your favorite. The patient is a 19 year-old man with no PMH BIBEMS with chest pain. He lifted weights yesterday, and…

Rhythm Nation: January 2016 Answer

ECG: Sinus Bradycardia, Left Axis Deviation, Possible Trifascicular Block (Mobitz I, RBBB, LAFB) Great discussion of an interesting ECG. Let’s talk blocks!               The Clinical Monster on this case did just that, and our…

Rhythm Nation: January 2016

Faithful Bloggers! Rhythm Nation returns for another installment of critical analysis of the ECGs seen at King’s County. Onwards! 87 year-old male, history of HTN, dyslipidemia, DM, Stage III CKD, Prostate cancer s/p radiation presents with syncope. Two weeks ago,…

Rhythm Nation: December 2016 Answer

Shout out to Dr. Blumenberg for correctly answering December’s case! ^_^ Here’s the original ECG in question: ECG: This is a regular narrow QRS-complex rhythm with a rate of approximately 36 bpm. The lack of discernable P waves preceding the…

Rhythm Nation: December 2016

Happy holiday bloggers! The year would not be complete without one more exciting ECG for your curious minds to ponder. So without further ado, here is the case: A 71 year-old man with PMH significant for HIV on HAART, IVDU,…

Rhythm Nation: November 2016

Faithful Bloggers! Rhythm Nation returns for another installment of critical analysis of the interesting ECGs from Kings County. Batter up! 63F h/o HTN, HL, DM, CAD, AFib (warfarin) CHF (EF 35%) presents to King’s County for “high blood pressure”. Lucky…

Rhythm Nation: August 2016 ANSWER

Good job, Eden Kim, for correctly Identifying pulmonary hypertension on EKG!! Let’s talk about pulmonary fibrosis and pulmonary hypertension and their prominent electrocardiographic findings.   Idiopathic Pulmonary Fibrosis History usually >50 years old progressively worsening dyspnea and non-productive cough history…

Rhythm Nation: August 2016

Hello bloggers! Time for another segment of the Rhythm Nation where we look at interesting cases and critically analyze difficult ECGs from our department. Here is the first case of the year:   46 year-old man with history of “some heart…