Ken Grauer, MD
NOVEMBER 25, 2023
For full discussion of this case — See ECG Blog #191 — == The 2-lead rhythm strip shown in Figure-1 was obtained from an elderly woman who presented to the ED following a syncopal episode. ECG Media Pearl # 8 ( 8:20 minutes Video ) — ECG Blog #191 — Distinguishing between A V D issociation vs Complete AV Block ( 2/6/2021 ).
Ken Grauer, MD
OCTOBER 13, 2023
To do this — I apply the P s, Q s, 3 R Approach ( See ECG Blog #185 — for review of my system ). Explanation of the Laddergram in Figure-4: For those in search of a review on reading and/or drawing Laddergrams — Please check out my ECG Blog #188. ECG Blog #185 — Reviews the P s, Q s, 3 R Approach to Rhythm Interpretation.
Ken Grauer, MD
NOVEMBER 18, 2023
For full discussion of this case — See ECG Blog #344 — == How would YOU interpret the lead II rhythm strip shown in Figure-1 ? Section 2F ( 6 pages = the " short " Answer ) from my ECG-2014 Pocket Brain book provides quick written review of the AV Blocks ( This is a free download ). Or — Is it “ something else ”?
Ken Grauer, MD
MAY 11, 2024
To EMPHASIZE: One of my goals in developing this ECG Blog — is to help clinicians to optimize their time efficiency. By the P s, Q s, 3 R Approach ( See ECG Blog #185 ) — the rhythm in the long-lead II of Figure-1 is not R egular. That said, as emphasized in ECG Blog #312 — SA block is rare!
Ken Grauer, MD
SEPTEMBER 29, 2023
To do this — I apply the P s, Q s, 3 R Approach ( See ECG Blog #185 — for review of my system ). PEARL # 2: The most common cause of a pause in an otherwise regular rhythm — is a blocked PAC ( See ECG Blog #66 and ECG Blog #147 ). ECG Blog #185 — Reviews the P s, Q s, 3 R Approach to Rhythm Interpretation.
Ken Grauer, MD
MARCH 29, 2023
M Y T houghts on the ECG in Figure-1: I have presented similar ECGs to the one in today's tracing on several occasions ( most recently in ECG Blog #284 ). Discussion of the pros and cons of these various agents extends beyond the scope of this ECG Blog. I have synthesized what I find the BEST from these programs in my ECG Blog #76.
Ken Grauer, MD
APRIL 23, 2023
Assessing the Rhythm: I favor use of the P s , Q s , 3 R Approach for assessing the cardiac rhythm ( See ECG Blog #185 ). As emphasized in ECG Blog #326 ( and as I review in the ADDENDUM below ) — Mobitz I, 2nd-Degree AV Block ( ie, AV Wenckebach ) — is by far (!) ECG Blog #236 — Reviews the 3 Types of 2nd-Degree AV Block.
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