Here is the EKG: The first interpretation would be to figure out the differential diagnosis for a regularly irregular rhythm in coupled beats. Without looking into more rare causes of coupled beats, the common causes includes atrial bigeminy, ventricular bigeminy,…
Hello Blog nation! Please enjoy this month’s EKG blog post! Also, seniors, please see below for a hint, just for you ;). Here is the case: 58 yo M with h/o mitral valve prolapse p/w acutely worsening palpitations, dyspnea on…
Congratulations Dr. Grundmann! The ECG shows T-wave inversions with prominent U-waves in leads V3-V6, and less prominent in leads II, II, aVF. The QT interval is also prolonged. All signs pointing towards hypokalemia. This patient’s potassium level of 2.3 mEq/L.…
On a sunny mid-afternoon day, a 31 year old male presents to the ED after falling down a flight of steps and complaining of LE weakness. Exam significant for LE strength 4/5 proximally and 5/5 distally. Pt had a carbohydrate…
Rhythm Nation May 2015 Answer Congratulations to Dr. Reza Roodsari! This is indeed a case of digoxin toxicity. Whenever you see “regularized a-fib,” that is, regular QRS intervals in a patient with permanent atrial fibrillation, think digoxin toxicity until proven otherwise. What…
67 yo F with permanent atrial fibrillation. Why is her rhythm regular? Best answer by May 18th at noon is our winner!
Excellent interpretation by Dr. Tepler! Exactly right, bradycardia and Osborn waves were concerning for a cold patient – in this case had moderate hypothermia. The Osborn wave (aka J wave) is seen in a variety of conditions. It can be…
You are handed this ECG and immediately get up to go see this new patient … why? What are you worried about? Best answer by Friday 4/17/15 at noon is our winner!