2. ID619 – 68 year old man in the Emergency Department after an accidental fall
3. ID619 – 68 year old man in the Emergency Department after an accidental fall Can you see P waves?
4. ID619 – 68 year old man in the Emergency Department after an accidental fall Yes – There is sinus rhythm, rate 100/min, with frequent premature ventricular complexes
5. ID619 – 68 year old man in the Emergency Department after an accidental fall The PR interval is normal – There is no left or right atrial enlargement
6. ID619 – 68 year old man in the Emergency Department after an accidental fall Let’s now look at the QRS complexes: There is normal QRS axis (between O and 90 degrees)
7. ID619 – 68 year old man in the Emergency Department after an accidental fall 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
8. ID619 – 68 year old man in the Emergency Department after an accidental fall There is no evidence of right or left ventricular hypertrophy
9. ID619 – 68 year old man in the Emergency Department after an accidental fall There are no QRS signs of myocardial infarction
10. ID619 – 68 year old man in the Emergency Department after an accidental fall The ST segment and T waves are normal
11. ID 619 – Final diagnosis: Sinus rhythm with frequent premature ventricular complexes. Otherwise, a normal ECG.
