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Written by Jesse McLaren, with edits from Smith and Grauer A 60 year old with no past medical history presented with two hours of chestpain radiating to the left arm, with normal vitals. CMAJ 2014. Additional Examples of OMI with WPW: CLICK HERE — for a similar case of a patient with WPW and new-onset chestpain.
She was hemodynamically stable — and did not have chestpain, lightheadedness or syncope. Even if we stopped here — We could conclude the following: There is marked bradycardia in today's rhythm ( ie, Heart rate in the low 30s ). QUESTIONS: HOW would you interpret the rhythm in Figure-1 ? Is this " high -grade" AV block?
That said — obvious findings include: i ) Marked bradycardia! — Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks. The rhythm in Figure-1 is complex — and defies precise interpretation without careful study. be regular! —
This fantastic case and post was written by Jesse McLaren (@ECGcases), edited by Smith Case You’re shown an ECG from a patient in the waiting room with chestpain. Sinus bradycardia, normal conduction, normal axis, normal R wave progression, no hypertrophy. Circulation 2014 7. -- McLaren JTT, Meyers HP, Smith SW, Chartier LB.
Within ten minutes, she developed bradycardia, hypotension, and ST changes on monitor. Bradycardia and heart block are very common in RCA OMI. He had no chestpain, dyspnea, or any other anginal equivalent, and his vital signs were normal. He told the patient this horrible news. Journal of Geriatric Cardiology , 19 (6).
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