![]() ![]() ![]() His serum potassium level was 6.3 mmol/L, and his BUN was 52 mg/dL. This ECG was obtained from an elderly man with Type II diabetes and early chronic renal failure. Read more about Tachycardia In An Unresponsive Patient.The lack of an onset or offset of the rhythm makes it difficult to diagnose PSVT with any certainty. The rate of nearly 150 suggests atrial flutter with 2:1 conduction, but the only lead that looks remotely like it has flutter waves is V2. ![]() The very slight irregularity points more towards sinus tachycardia. Differential dx : sinus tachycardia, PSVT, atrial flutter. The rate is fast enough to bury the P waves in the preceding T waves, especially if there is first-degree AV block. P waves are not seen, even though the ECG machine gives a P wave axis and PR interval measurement. The heart rate is 148 bpm, and the rhythm is regular, although not perfectly. Forgive me in advance, but there is a lot to say about this ECG. The ECG This ECG is quite challenging, as it illustrates the helpfulness of ECG changes in patient diagnosis, and also points out how important clinical correlation is when the ECG suggests multiple different problems. We would welcome comments below from all our members! No one was available to provide information about past medical history or the onset of this event.īefore you read my comments, pause to look at the ECG and see what YOU think. The Patient This ECG was obtained from a 28-year-old woman who was found in her home, unresponsive. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |