Rhythm Nation - ECG
Rhythm Nation May 2015
67 yo F with permanent atrial fibrillation. Why is her rhythm regular? Best answer by May 18th at noon is our winner!
67 yo F with permanent atrial fibrillation. Why is her rhythm regular? Best answer by May 18th at noon is our winner!
Excellent interpretation by Dr. Tepler! Exactly right, bradycardia and Osborn waves were concerning for a cold patient – in this case had moderate hypothermia. The Osborn wave (aka J wave) is seen in a variety of conditions. It can be a normal variant, but with the combination of bradycardia other Read more…
You are handed this ECG and immediately get up to go see this new patient … why? What are you worried about? Best answer by Friday 4/17/15 at noon is our winner!
Rhythm Nation March 2015 – Answer! Congratulations to VTACHomas for being first! Excellent discussion from JFreedman and Eschnitz. This is a complicated ECG! Let’s first look at the option of ventricular bigeminy. Ventricular bigeminy has recurring premature ventricular contractions (PVCs) after every atrial sinus beat. There is then a Read more…
This month we have a guest author Dr. Yonatan Yohannes! You are busy working late one night in the ED at Janus General when… a tech hands you the ECG shown below for a patient presenting with “chest pain”. 1. What is your initial impression? You immediately Read more…
Truly excellent interpretation by Dr. Joey Freedman. This is indeed a patient with rapid atrial fibrillation with aberrantly conducted complexes and intermittent biventricular pacing. Whew! Think of atrial fibrillation with rapid ventricular response, but the ventricles are unable to respond quickly, so the rhythm appears wide and similar to ventricular Read more…
Over at Janus General, where I’m on staff, there is a … 60 yo M with SOB: What is this rhythm and how do you treat it? Best and most complete answer by 9/19/14 at noon will win!
Rhythm Nation – Answer! Well done Nathan and Carl! This week’s winner is Nathan for the first, most correct answer. This patient has an inferior myocardial infarction with ST elevation in II, III and aVF, and reciprocal depression in aVL. In this case, the culprit artery is the RCA Read more…