26 yo M pmh multiple episodes of syncope as child p/w anxiety symptoms for months. No meds or illicits. His father died at age 39. He has the following dysrhythmia: Questions: What is this rhythm? What is your…
Rhythm Nation March 2015
Tag: ECG
Rhythm Nation February 2015 – Answer
Kudos go to Dr. Bryan Jarrett for an excellent interpretation! Much discussion was had over this ECG. There is an AV dissociation where the P waves march out. There is a slightly wide QRS, but not that wide.…
Rhythm Nation December 2014 – Answer!
This is a tough one and congratulations to the thorough responders. This month’s winner – Dr. Nico Grundmann! To start, TCA ingestion is the most common cause of Na-channel toxicity that we see in ECGs – but this patient was…
Rhythm Nation December 2014
47 year-old female with past medical history of depression and supraventricular tachycardia, brought in by EMS with altered mental status and found with empty pill bottles nearby. What is the interpretation of this ECG? What likely happened to this…
Rhythm Nation November 2014 Answer!
Excellent answer by Dr. Kylie Birnbaum! This patient indeed has a supraventricular tachycardia (SVT), and indeed was found to have fast-slow atrioventricular nodal re-entrant tachycardia (AVNRT) on later electrophysiologic study. In the ED at Janus General, however, vagal maneuvers failed…
Rhythm Nation November 2014
80 yo F presents with intermittent palpitations associated with shortness of breath but is otherwise stable. What is your differential for this rhythm? How do you treat it? Best answer by Friday will win!
Rhythm Nation October 2014 ANSWER!
From the hand of Dr. Yonatan Yohannes… . This case puts the providers in a bit of a dilemma. The ECG is concerning for possible left main coronary artery (LMCA) or proximal left anterior descending (LAD) artery occlusion. However, the history…
Rhythm Nation August 2014 Answer!
Rhythm Nation August 2014 Answer! Best and most thorough and most correct reading goes to… Dr. Freedman! The major clue to this case is the recent or evolving STEMI. In the era of thrombolysis for STEMI, the Accelerated Idioventricular Rhythm…