stepwise interpretation of ecg - #3 no dx id659
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Stepwise interpretation of ECG
ID 619
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ID 619 68 year old man in the Emergency Department after an accidental fall
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ID 619 68 year old man in the Emergency Department after an accidental fall
Can you see P waves?
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ID 619 – Sinus rhythm with frequent premature ventricular complexes
Yes – There is sinus rhythm, rate 100/min, with frequent premature ventricular complexes
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ID619 - Sinus rhythm with frequent premature ventricular complexes
The PR interval is normal – There is no left or right atrial enlargement
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ID619 - Sinus rhythm with frequent premature ventricular complexes
The PR interval is normal – There is no left or right atrial enlargement
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ID619 - Sinus rhythm with frequent premature ventricular complexes
Let’s now look at the QRS complexes: There is normal QRS axis (between O and 90 degrees)
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ID619 - Sinus rhythm with frequent premature ventricular complexes
The QRS complexes that follow the P waves have a normal duration – There is no right bundle branch block, left bundle branch block or non-specific block
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ID619 - Sinus rhythm with frequent premature ventricular complexes
There is no evidence of right or left ventricular hypertrophy
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ID619 - Sinus rhythm with frequent premature ventricular complexes
There are no QRS signs of myocardial infarction
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ID619 - Sinus rhythm with frequent premature ventricular complexes
The ST segment and T waves are normal
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ID619 – Final diagnosis: Sinus rhythm with frequent premature ventricular complexes Otherwise, a normal ECG
The ST segment and T waves are normal