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Written by Tom Bouthillet
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Monday, 15 December 2008 07:16 |
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In Part I, we discussed Sgarbossa's Criteria for identifying AMI in the presence of LBBB. We also talked about the "rule of appropriate T wave discordance" for bundle branch blocks and other forms of abnormal depolarization (like ventricular rhythms or paced rhythms). read more |
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Written by ER nurse ECG Blog
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Saturday, 13 December 2008 16:31 |
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Patient: Ca. 50 year old man with new-onset atrial fibrillation. Presented in the ER with palpitations, mild dyspnea and fatigue. Initial ECG shows atrial fibrillation with a rapid ventricular response around 150 bpm. Onset of fibrillation was just few hours before hospital admittance. The ECG strip shows lead III from a 3-lead monitoring from the [...] |
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Written by Tom B
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Saturday, 13 December 2008 08:34 |
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There has been a lot of discussion lately about identifying AMI in the presence of LBBB (see Dr. Bearemy's "My Emergency Medicine Blog" here and a recent thread on the EKG Club). I've also been receiving a lot of emails offlist, so I think a full discussion is in order. read more |
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Written by ER nurse ECG Blog
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Tuesday, 09 December 2008 19:23 |
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ECG description: Sinus arrhythmia with varied rate at approximately 90 bpm PR interval normal and constant at 140ms Multiple premature atrial complexes Atrial trigeminy pattern with compensatory postextrasystolic pauses Axis normal at approx. 60° ECG conclusion: Atrial Trigeminy with Compensatory Postextrasystolic Pauses. Recognition of Premature Atrial Complexes (PAC) Every second beat is followed by a premature atrial complex (PAC). A PAC is recognized [...] |
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Written by ER nurse ECG Blog
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Monday, 08 December 2008 15:39 |
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Patient: Male, 80 years of age, with severe COPD (Chronic Obstructive Pulmonary Disease) and CHF (Congestive Heart Failure) class IV (NYHA Classification). He has had one inferior MI previously. Anamnesis: Sudden onset of palpitations, followed by dyspnea/tachypnea. When presented in the ER, his respiratory rate is >40/min. Transcutaneous SpO₂ is 69% with two O₂ administered at [...] |
Review & Interpretation
