Dr. Smith's ECG Blog

AUGUST 13, 2020

Still Irregular Blood pressure during these rhythms was adequate; there was no shock. Old MI with persistent ST Elevation (LV aneurysm morphology) can look like acute MI 2. Not all anterior LV aneurysm has a QS-wave. LV Aneurysm? Looks like atrial fibrillation. At this point, they recorded the above 12-lead.

Tachycardia 52

Tachycardia AFIB Cardiogenic Shock Myocardial Infarction 52

EMS 12-Lead

APRIL 28, 2022

The EMS narrative reports that her blood pressure and oxygenation improved modestly with rhythm stability for transport duration. The QRS is wide in B — but the rhythm is irregularly irregular with no sinus P waves — so this most probably represents rapid AFib with an atypical RBBB/LPHB morphology.

Tachycardia 52

Tachycardia AFIB Arrhythmia Coronary Artery Bypass Graft 52

Dr. Smith's ECG Blog

JANUARY 9, 2024

These are all findings that can be expected with left ventricular aneurysm. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ). The ECG shows what is likely an atrial ectopic rhythm with a left anterior hemiblock. There is some STE.

Tachycardia 119

Tachycardia Electrophysiology Atrial Flutter Ischemia 119